Active NPI
County of Orange Virginia
- Ambulance
- Orange, VA
National Provider Identifier
1770544405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 964
- Legal business name
- COUNTY OF ORANGE VIRGINIA
- Practice address
- 11282 Government Center Drive
Orange, VA 22960-4450 - Phone
- (540) 672-7044
- NPI assigned
- Mar 31, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kenneth M Throckmorton
- Title
- Assistant Chief of Administration
- Phone
- (540) 672-7044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051208000868 | VA | Part B Supplier - Ambulance Service Supplier | 2860413531 | Practice locations: Barboursville, VA; Orange, VA; Locust Grove, VA |
National Provider Directory
National Provider DirectoryLocations
104 Lakeview Pkwy
Locust Grove, VA 22508
Phone (540) 972-7510
11282 Government Center Dr
Orange, VA 22960
Phone (540) 672-7044
112 W Main St
Orange, VA 22960
Phone (540) 672-7044
151 Berry Hill Rd
Orange, VA 22960
Phone (540) 672-7044
19103 Constitution Hwy
Orange, VA 22960
Phone (540) 672-7044
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 954 | VA | |
| Ambulance | 341600000X | 964 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11282 Government Center Drive
Orange, VA 22960-4450
Mailing address
PO Box 719424
Philadelphia, PA 19171-9424
Phone (855) 626-9660
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190001381 | Other | VA | MEDICARE PTAN |
| 010275211 | Medicaid | VA | |
| P00316108 | Other | VA | RAILROAD MEDICARE |
Other names 1
NPPES NPI Registry- County of Orange Fire & EMS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2024.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1770544405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719424",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191719424",
"telephone_number": "855-626-9660",
"fax_number": "833-953-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11282 GOVERNMENT CENTER DRIVE",
"city": "ORANGE",
"state": "VA",
"postal_code": "229604450",
"telephone_number": "540-672-7044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF ORANGE VIRGINIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "THROCKMORTON",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ASSISTANT CHIEF OF ADMINISTRATION",
"authorized_official_telephone_number": "540-672-7044"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "954",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "190001381",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010275211",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00316108",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "County of Orange Fire & EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "County of Orange Fire & EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.