Westmoreland County

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1274 Issued in VA

Legal business name

WESTMORELAND COUNTY

Practice address

111 Polk Street
Montross, VA 22520

Phone

(804) 493-0130

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Calvin Balderson Jr.

Title

Deputy EMS Coordinator

Phone

(804) 493-0130

Specialties & licenses 1

Addresses

Other names 1

• Westmoreland County Dept of EMS Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1407039126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "MONTROSS",
            "state": "VA",
            "postal_code": "225201000",
            "telephone_number": "804-493-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 POLK STREET",
            "city": "MONTROSS",
            "state": "VA",
            "postal_code": "22520",
            "telephone_number": "804-493-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMORELAND COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BALDERSON",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "DEPUTY EMS COORDINATOR",
        "authorized_official_telephone_number": "804-493-0130",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "1274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westmoreland County Dept of EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Louise Tate, AGNP-C
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• Walgreen Co (Walgreens #17997)
• Andrew Farley Walker, MD
• Christopher S. Walsh, M.D.
• Westmoreland County Public Schools

• Ambulance in Montross, VA
• Providers in Montross, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.