Active NPI
Amherst County Board of Supervisors
Doing business as Amherst County Department of Public Safety
- Land Ambulance
- Amherst, VA
National Provider Identifier
1689624637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1164
- Legal business name
- AMHERST COUNTY BOARD OF SUPERVISORS
- Doing business as
- Amherst County Department of Public Safety
- Practice address
- 119 Taylor St
Amherst, VA 24521 - Phone
- (434) 946-9307
- Fax
- (434) 946-9470
- NPI assigned
- May 11, 2006
- Last updated
- Jan 21, 2010
- 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
- Mr. Craig Michael Roakes, DIRECTOR
- Title
- Director of Public Safety
- Phone
- (434) 946-9307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1164 | VA | Primary |
Addresses
Primary practice location
119 Taylor St
Amherst, VA 24521
Mailing address
PO Box 140
Amherst, VA 24521
Phone (434) 946-9307
Other names 1
- Amherst County Department of Public Safety
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100420000252 | VA | Part B Supplier - Ambulance Service Supplier | 6901933175 | Practice locations: Madison Heights, VA; Amherst, VA |
National Provider Directory
National Provider DirectoryLocations
119 Taylor St
Amherst, VA 24521
Phone (434) 946-9307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264032000000",
"number": "1689624637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140",
"city": "AMHERST",
"state": "VA",
"postal_code": "24521",
"telephone_number": "434-946-9307",
"fax_number": "434-946-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 TAYLOR ST",
"city": "AMHERST",
"state": "VA",
"postal_code": "24521",
"telephone_number": "434-946-9307",
"fax_number": "434-946-9470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMHERST COUNTY BOARD OF SUPERVISORS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2010-01-21",
"status": "A",
"authorized_official_last_name": "ROAKES",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR OF PUBLIC SAFETY",
"authorized_official_telephone_number": "434-946-9307",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DIRECTOR"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "1164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amherst County Department of Public Safety",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amherst, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.