NPIMap

Organization Active NPI

County of Loudoun Virginia

Doing business as Loudoun County Department of Fire, Rescue and Emergency Management

  • Land Ambulance
  • Leesburg, VA
National Provider Identifier
1508290297
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
534 Issued in VA
Legal business name
COUNTY OF LOUDOUN VIRGINIA
Doing business as
Loudoun County Department of Fire, Rescue and Emergency Management
Practice address
16600 Courage CT
Leesburg, VA 20175-8922
Phone
(703) 737-8400
Fax
(703) 777-0235
NPI assigned
Aug 29, 2013
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Mr. William Keith Brower Jr.
Title
Chief of the Department
Phone
(703) 777-0435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 534 VA Primary

Addresses

Primary practice location

16600 Courage CT
Leesburg, VA 20175-8922

Mailing address

801 Sycolin Rd SE
Leesburg, VA 20175-5685
Phone (703) 737-8782

Other names 1

  • LOUDOUN COUNTY DEPARTMENT OF FIRE, RESCUE AND EMERGENCY MANAGEMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141217002781 VA Part B Supplier - Ambulance Service Supplier 8426039959 Practice locations: Leesburg, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • County of Loudoun, Virginia

    dba Loudoun County Community Services Board

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Leesburg, VA
    • NPI 1386753291

    8426039959

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
County of Loudoun4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

801 Sycolin Rd SE
Leesburg, VA 20175
Phone (703) 777-0333

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1508290297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SYCOLIN RD SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755685",
            "telephone_number": "703-737-8782",
            "fax_number": "703-771-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 COURAGE CT",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758922",
            "telephone_number": "703-737-8400",
            "fax_number": "703-777-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOUDOUN VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF OF THE DEPARTMENT",
        "authorized_official_telephone_number": "703-777-0435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUDOUN COUNTY DEPARTMENT OF FIRE, RESCUE AND EMERGENCY MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.