NPIMap

Organization Active NPI

Goochland County Board of Supervisors

  • Ambulance
  • Goochland, VA
National Provider Identifier
1689928129
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
597 Issued in VA
Legal business name
GOOCHLAND COUNTY BOARD OF SUPERVISORS
Practice address
2938 River Rd W
Goochland, VA 23063-3229
Phone
(804) 556-5304
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Dillard E Ferguson Jr.
Title
Fire-Rescue Chief
Phone
(804) 556-5304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 597 VA Primary

Addresses

Primary practice location

2938 River Rd W
Goochland, VA 23063-3229

Mailing address

PO Box 715724
Philadelphia, PA 19171-5724
Phone (804) 556-5304

Other identifiers 1

IdentifierTypeStateIssuer
P01163288OtherVARAILROAD MEDICARE

Other names 1

  • Goochland County Fire-Rescue Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121228000409 VA Part B Supplier - Ambulance Service Supplier 3072408582 Practice locations: Goochland, VA; Crozier, VA; Sandy Hook, VA; Manakin Sabot, VA; Louisa, VA

National Provider Directory

National Provider Directory

Locations

2938 River Rd W
Goochland, VA 23063
Phone (804) 556-5304

2938 River Rd W
Bldg 1
Goochland, VA 23063

52 Broad Street Rd
Manakin Sabot, VA 23103
Phone (804) 784-4068

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1689928129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715724",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715724",
            "telephone_number": "804-556-5304",
            "fax_number": "804-556-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 RIVER RD W",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230633229",
            "telephone_number": "804-556-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOCHLAND COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DILLARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE-RESCUE CHIEF",
        "authorized_official_telephone_number": "804-556-5304",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01163288",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goochland County Fire-Rescue Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goochland County Fire-Rescue Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goochland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.