Organization Active NPI

City of Roanoke

  • Land Ambulance
  • Roanoke, VA
National Provider Identifier
1497859730
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
00043 Issued in VA
Legal business name
CITY OF ROANOKE
Practice address
713 3Rd St SW
Roanoke, VA 24016-4009
Phone
(540) 853-6499
Fax
(540) 853-2458
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Evelyn Powers
Title
Treasurer
Phone
(540) 853-6499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 00043 VA Primary

Addresses

Primary practice location

713 3Rd St SW
Roanoke, VA 24016-4009

Mailing address

PO Box 715900
Philadelphia, PA 19171-5900
Phone (844) 368-2789

Other identifiers 2

IdentifierTypeStateIssuer
064083OtherVABLUE SHIELD
009011978MedicaidVA

Other names 1

  • ROANOKE FIRE-EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050113000866 VA Part B Supplier - Ambulance Service Supplier 2062461312 Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory
Tax ID family
City of Roanoke EMS2 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

1920 Orange Ave NW
Roanoke, VA 24017
Phone (540) 853-2880

55 Noble Ave NE
Roanoke, VA 24012
Phone (540) 853-2880

704 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 853-2880

3763 Peters Creek Road Ext SW
Roanoke, VA 24018
Phone (540) 853-2880

1333 Jamison Ave SE
Roanoke, VA 24013
Phone (540) 853-2880

215 Church Ave SW
#163
Roanoke, VA 24011
Phone (703) 981-2425

2328 Crystal Spring Ave SW
Roanoke, VA 24014
Phone (540) 853-2327

374 Day Ave SW
Roanoke, VA 24016
Phone (540) 853-2327

4803 Williamson Rd NW
Roanoke, VA 24012
Phone (540) 853-2880

1742 Memorial Ave SW
Roanoke, VA 24015
Phone (540) 853-2327

713 3rd St SW
Roanoke, VA 24016
Phone (540) 853-6499

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1497859730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715900",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715900",
            "telephone_number": "844-368-2789",
            "fax_number": "888-974-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164009",
            "telephone_number": "540-853-6499",
            "fax_number": "540-853-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROANOKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "540-853-6499"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "00043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "064083",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009011978",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROANOKE FIRE-EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ROANOKE FIRE-EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.