Active NPI
City of Roanoke
- Land Ambulance
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 00043
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064083 | Other | VA | BLUE SHIELD |
| 009011978 | Medicaid | VA |
Other names 1
- ROANOKE FIRE-EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 EMS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Roanoke, VA
- NPI 1255333563
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.