Active NPI
New Kent County Board of Supervisors
- Land Ambulance
- New Kent, VA
National Provider Identifier
1407054869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 693
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.