Southampton County Board of Supervisors

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

322 Issued in VA

Legal business name

SOUTHAMPTON COUNTY BOARD OF SUPERVISORS

Practice address

25436 Bridge St
Courtland, VA 23837-0000

Phone

(757) 653-9221

Fax

(757) 653-9711

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Brian S Thrower

Title

County Administrator

Phone

(757) 653-3015

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1679564421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25436 BRIDGE ST",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238370000",
            "telephone_number": "757-653-9221",
            "fax_number": "757-653-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18090 Railroad Avenue",
            "address_purpose": "LOCATION",
            "city": "Capron",
            "state": "VA",
            "postal_code": "23829",
            "country_code": "US",
            "telephone_number": "434-658-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18127 North Railroad Ave.",
            "address_purpose": "LOCATION",
            "city": "Boykins",
            "state": "VA",
            "postal_code": "23837",
            "country_code": "US",
            "telephone_number": "757-654-6660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35476 General Mahone BLVD",
            "address_purpose": "LOCATION",
            "city": "Ivor",
            "state": "VA",
            "postal_code": "23866",
            "country_code": "US",
            "telephone_number": "757-859-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHAMPTON COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "THROWER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "757-653-3015"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "322",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "324",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "323",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "710804800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "188300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679564421",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medstar Ambulance Service, Inc.
• Mrs. Mary'S Loving Arms Home Health Care LLC.
• Phases Family Services
• Sentara Careplex Hospital
• Southampton Behavior Therapy LLC
• Southampton County School Board
• Story Chiropractic, PLLC
• Stevie Jo Nicole Tibbetts, MOT, OTR/L
• Ebony Turner
• Barbara Moore Wilson, NP

• Land Ambulance in Courtland, VA
• Providers in Courtland, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.