Organization Active NPI

Botetourt County Board of Supervisors

  • Ambulance
  • Fincastle, VA
National Provider Identifier
1710090014
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1128 Issued in VA
Legal business name
BOTETOURT COUNTY BOARD OF SUPERVISORS
Practice address
205 N Roanoke St
Suite 1
Fincastle, VA 24090-3018
Phone
(540) 473-8401
NPI assigned
Aug 17, 2006
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
David Firestone
Title
Emergency Services Specialist
Phone
(540) 473-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1128 VA Primary

Addresses

Primary practice location

205 N Roanoke St
Suite 1
Fincastle, VA 24090-3018

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 2

IdentifierTypeStateIssuer
181780OtherVAANTHEM
010234107MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050823000813 VA Part B Supplier - Ambulance Service Supplier 0446281117 Practice locations: Troutville, VA; Roanoke, VA; Glen Wilton, VA; Fincastle, VA; Eagle Rock, VA; Blue Ridge, VA; Buchanan, VA

National Provider Directory

National Provider Directory

Locations

10 S Factory St
Fincastle, VA 24090
Phone (540) 473-8383

10 W Back St
Fincastle, VA 24090

10 W Main St
Fincastle, VA 24090
Phone (540) 473-8401

20 E Back St
#156
Fincastle, VA 24090
Phone (540) 473-8301

205 N Roanoke St
#1
Fincastle, VA 24090
Phone (540) 473-8401

43 Eastpark Dr
Roanoke, VA 24019
Phone (540) 977-5881

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1710090014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N ROANOKE ST",
            "address_2": "SUITE 1",
            "city": "FINCASTLE",
            "state": "VA",
            "postal_code": "240903018",
            "telephone_number": "540-473-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTETOURT COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "FIRESTONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EMERGENCY SERVICES SPECIALIST",
        "authorized_official_telephone_number": "540-473-8401"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "1128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "181780",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010234107",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fincastle, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.