Organization Active NPI

Central Middlesex Volunteer Rescue Squad Inc

  • Land Ambulance
  • Urbanna, VA
National Provider Identifier
1609102839
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CENTRAL MIDDLESEX VOLUNTEER RESCUE SQUAD INC
Practice address
391 Hilliard St
Urbanna, VA 23175
Phone
(804) 758-4405
NPI assigned
Oct 22, 2009
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Christian A Foster
Title
President
Phone
(804) 758-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

391 Hilliard St
Urbanna, VA 23175

Mailing address

PO Box 790
Urbanna, VA 23175-0790
Phone (804) 758-4405

Other identifiers 1

IdentifierTypeStateIssuer
1609102839MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1609102839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "231750790",
            "telephone_number": "804-758-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 HILLIARD ST",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23175",
            "telephone_number": "804-758-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MIDDLESEX VOLUNTEER RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-758-4405"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609102839",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbanna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.