Active NPI
City of Poquoson
- Land Ambulance
- Poquoson, VA
National Provider Identifier
1407087893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 340
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090827000182 | VA | Part B Supplier - Ambulance Service Supplier | 8224183249 | Practice locations: Poquoson, VA |
National Provider Directory
National Provider DirectoryLocations
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.