Organization Active NPI

New Kent County Board of Supervisors

  • Land Ambulance
  • New Kent, VA
National Provider Identifier
1407054869
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
693 Issued in VA
Legal business name
NEW KENT COUNTY BOARD OF SUPERVISORS
Practice address
12025 Courthouse Circle
Suite 400
New Kent, VA 23124
Phone
(804) 966-8574
Fax
(804) 966-2903
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mr. Rodney A. Hathaway
Title
Acting County Administrator
Phone
(804) 966-9629

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 693 VA
Land Ambulance 3416L0300X 693 VA Primary

Addresses

Primary practice location

12025 Courthouse Circle
Suite 400
New Kent, VA 23124

Mailing address

P O Box 210
New Kent, VA 23124-0210
Phone (804) 966-8574

Other names 1

  • New Kent Fire-Rescue Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000583 VA Part B Supplier - Ambulance Service Supplier 6002996568 Practice locations: Quinton, VA; Providence Forge, VA; New Kent, VA; Lanexa, VA

National Provider Directory

National Provider Directory

Locations

15460 Pocahontas Trl
Lanexa, VA 23089
Phone (804) 966-9618

12007 Courthouse Cir
New Kent, VA 23124
Phone (804) 966-9618

12007 Courthouse Cir
Ste 114
New Kent, VA 23124

12025 Courthouse Cir 400
New Kent, VA 23124
Phone (804) 966-8574

12025 Courthouse Cir
Ste 400
New Kent, VA 23124
Phone (804) 966-8574

7344 Vineyards Pkwy
New Kent, VA 23124
Phone (804) 966-9618

4315 N Courthouse Rd
Providence Forge, VA 23140
Phone (804) 966-9618

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1407054869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 210",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231240210",
            "telephone_number": "804-966-8574",
            "fax_number": "804-966-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 COURTHOUSE CIRCLE",
            "address_2": "SUITE 400",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "23124",
            "telephone_number": "804-966-8574",
            "fax_number": "804-966-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW KENT COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ACTING COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "804-966-9629",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "693",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Kent Fire-Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Kent, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.