Organization Active NPI

Nottoway County Emergency Squad, Inc.

  • Ambulance
  • Crewe, VA
National Provider Identifier
1467420323
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NOTTOWAY COUNTY EMERGENCY SQUAD, INC.
Practice address
501 E Virginia Ave
Crewe, VA 23930-2033
Phone
(434) 645-7548
Fax
(434) 645-7412
NPI assigned
Mar 8, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Harold J Bloss
Title
Office Manager
Phone
(434) 645-7548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X VA Primary

Addresses

Primary practice location

501 E Virginia Ave
Crewe, VA 23930-2033

Mailing address

501 E Virginia Ave
PO Box 453
Crewe, VA 23930-2033
Phone (434) 645-7548

Other identifiers 1

IdentifierTypeStateIssuer
9014616MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051115000833 VA Part B Supplier - Ambulance Service Supplier 9133147440 Practice locations: Crewe, VA

National Provider Directory

National Provider Directory
Tax ID family
Nottoway Co Emergency S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 E Virginia Ave
Crewe, VA 23930
Phone (434) 645-7548

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467420323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E VIRGINIA AVE",
            "address_2": "PO BOX 453",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239302033",
            "telephone_number": "434-645-7548",
            "fax_number": "434-645-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E VIRGINIA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239302033",
            "telephone_number": "434-645-7548",
            "fax_number": "434-645-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTTOWAY COUNTY EMERGENCY SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOSS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-645-7548",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9014616",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crewe, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.