Active NPI
Nottoway County Emergency Squad, Inc.
- Ambulance
- Crewe, VA
National Provider Identifier
1467420323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2022
- 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. Harold J Bloss
- Title
- Office Manager
- Phone
- (434) 645-7548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9014616 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 S
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Crewe, VA
- NPI 1770534695
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.