Organization Active NPI

City of Poquoson

  • Land Ambulance
  • Poquoson, VA
National Provider Identifier
1407087893
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
340 Issued in VA
Legal business name
CITY OF POQUOSON
Practice address
500 City Hall Ave
Poquoson, VA 23662-1996
Phone
(757) 868-3000
Fax
(757) 868-3101
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
J. Randall Wheeler
Title
City Manager
Phone
(757) 868-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 340 VA Primary

Addresses

Primary practice location

500 City Hall Ave
Poquoson, VA 23662-1996

Mailing address

500 City Hall Ave
Poquoson, VA 23662-1996
Phone (757) 868-3000

Other names 1

  • Poquoson Fire & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000182 VA Part B Supplier - Ambulance Service Supplier 8224183249 Practice locations: Poquoson, VA

National Provider Directory

National Provider Directory

Locations

500 City Hall Ave
Poquoson, VA 23662
Phone (757) 868-3000

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1407087893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CITY HALL AVE",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621996",
            "telephone_number": "757-868-3000",
            "fax_number": "757-868-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITY HALL AVE",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621996",
            "telephone_number": "757-868-3000",
            "fax_number": "757-868-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF POQUOSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "J. RANDALL",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "757-868-3000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poquoson Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poquoson Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poquoson, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.