Organization Active NPI

Angelcare Ambulance Service

  • Ambulance
  • Abingdon, VA
National Provider Identifier
1700925641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ANGELCARE AMBULANCE SERVICE
Practice address
660 West Main Street
Abingdon, VA 24212
Phone
(276) 628-8424
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jack Kiser
Title
President
Phone
(276) 628-8424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X VA Primary

Addresses

Primary practice location

660 West Main Street
Abingdon, VA 24212

Mailing address

660 West Main Street
Abingdon, VA 24212
Phone (276) 628-8424

Other identifiers 1

IdentifierTypeStateIssuer
1010069874MedicaidVA

National Provider Directory

National Provider Directory

Locations

660 W Main St
Abingdon, VA 24210
Phone (276) 628-8424

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700925641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WEST MAIN STREET",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "24212",
            "telephone_number": "276-628-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WEST MAIN STREET",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "24212",
            "telephone_number": "276-628-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELCARE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-628-8424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010069874",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.