Organization Active NPI

Amherst County Board of Supervisors

Doing business as Amherst County Department of Public Safety

  • Land Ambulance
  • Amherst, VA
National Provider Identifier
1689624637
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1164 Issued in VA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000252 VA Part B Supplier - Ambulance Service Supplier 6901933175 Practice locations: Madison Heights, VA; Amherst, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.