Amherst County Board of Supervisors
Organization Active NPI Land Ambulance · Amherst, VA
NPI 1689624637 · NPPES record last updated Jan 21, 2010
Key facts
- NPI
- 1689624637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1164 (VA)
- Legal business name
- AMHERST COUNTY BOARD OF SUPERVISORS
- Practice address
- 119 Taylor St
Amherst, VA 24521 - Phone
- (434) 946-9307
- Fax
- (434) 946-9470
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Craig Michael Roakes, DIRECTOR
- Title
- Director of Public Safety
- Phone
- (434) 946-9307
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| 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
Locations
119 Taylor St
Amherst, VA 24521
Phone (434) 946-9307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1164 | VA | Yes |
Addresses
Primary practice location
119 Taylor St
Amherst, VA 24521
Mailing address
PO Box 140
Amherst, VA 24521
Phone (434) 946-9307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00035947 | Other | VA | RR M CARE |
| 60824 | Other | VA | ANTHEM |
| 080056500 | Other | VA | FED BLACK LUNG |
| 71974 | Other | VA | OPTIMA |
| 010007381 | Medicaid | VA |
Other names
- Amherst County Department of Public Safety
Other providers in Amherst, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.