Town of Wytheville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF WYTHEVILLE

Doing business as

Wytheville Fire Rescue

Practice address

185 W Spring St
Wytheville, VA 24382-2649

Phone

(276) 233-0801

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Everett Lineberry II

Title

EMS Division Chief

Phone

(276) 233-0801

Specialties & licenses 1

Addresses

Other names 1

• Wytheville Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1477188563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W SPRING ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822649",
            "telephone_number": "276-233-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W SPRING ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822649",
            "telephone_number": "276-233-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WYTHEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "LINEBERRY",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_title_or_position": "EMS DIVISION CHIEF",
        "authorized_official_telephone_number": "276-233-0801",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wytheville Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wytheville Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari L Thomas, DO
• Grant Throckmorton, DDS
• Casey Ryan Tibbs, LCSW
• Susan Marie Tomaselli
• William M Tomiak, MD
• Heather Trail, LPC
• Thomas T Tran, DPM
• Cayla Marie Trueheart, RBT
• Carrie Turner, RN
• Farrah Vaughn, FNP

• Land Ambulance in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.