Organization Active NPI

Baywood Rescue Squad

  • Ambulance
  • Galax, VA
National Provider Identifier
1659338176
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
00514 Issued in VA
Legal business name
BAYWOOD RESCUE SQUAD
Practice address
47 Crossroads Drive
Galax, VA 24333-3782
Phone
(276) 236-8690
Fax
(276) 236-8690
NPI assigned
Apr 27, 2006
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Megan Barnes
Title
1St LT
Phone
(276) 236-8690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 00514 VA Primary

Addresses

Primary practice location

47 Crossroads Drive
Galax, VA 24333-3782

Mailing address

47 Crossroads Drive
Galax, VA 24333-3782
Phone (276) 236-8690

Other names 1

  • Baywood Search and Rescue Squad Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051007000168 VA Part B Supplier - Ambulance Service Supplier 3072538230 Practice locations: Galax, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1659338176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CROSSROADS DRIVE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333782",
            "telephone_number": "276-236-8690",
            "fax_number": "276-236-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CROSSROADS DRIVE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333782",
            "telephone_number": "276-236-8690",
            "fax_number": "276-236-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYWOOD RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "1ST LT",
        "authorized_official_telephone_number": "276-236-8690"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "00514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baywood Search and Rescue Squad",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.