Active NPI
Botetourt County Board of Supervisors
- Ambulance
- Fincastle, VA
National Provider Identifier
1710090014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1128
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181780 | Other | VA | ANTHEM |
| 010234107 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- 1St Call Mobile Urgent Care LLC
- Clarke B Andrews, M.D.
- ASC of Fincastle, LLC (Brian Center of Fincastle)
- Bethel Ridge, Inc.
- Kenna Noel Blankenship, FNP-C
- Botetourt County Public Schools
- Sandra Brinkley, RD
- Robert G Collins, M.D.
- Commonwealth of Virginia State Board of Health (Botetourt County Health Department)
- Tiffany Yvette Curry, FNP
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.