Forest Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

259 Issued in VA

Legal business name

FOREST AMBULANCE SERVICE INC

Practice address

3101 Northside Ave
Henrico, VA 23228-5409

Phone

(804) 358-2595

Fax

(804) 358-7662

NPI assigned

Nov 3, 2005

Reactivated

May 2, 2008

Last updated

Jul 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgina T. Forrest

Title

President/Ceo

Phone

(804) 358-7575

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1740271006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28118",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232289998",
            "telephone_number": "804-358-2595",
            "fax_number": "804-358-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NORTHSIDE AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285409",
            "telephone_number": "804-358-2595",
            "fax_number": "804-358-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-07-14",
        "deactivation_date": "2008-04-23",
        "reactivation_date": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-358-7575"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "259",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009002171",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Flowers
• Tami Ann Flowers, MD
• Monique Rochelle Floyd, LCSW
• Gabrielle Flynn, PA-C
• Rebecca Milagro Fore
• Jacqueline Fountain
• Jacob France
• Rajy Francis, NP
• Sherma Francis, PA-C
• Nicole Frank

• Land Ambulance in Henrico, VA
• Providers in Henrico, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.