Organization Active NPI

County of Orange Virginia

  • Ambulance
  • Orange, VA
National Provider Identifier
1770544405
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
964 Issued in VA
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 IDStateProvider typePAC IDDetails
O20051208000868 VA Part B Supplier - Ambulance Service Supplier 2860413531 Practice locations: Barboursville, VA; Orange, VA; Locust Grove, VA

National Provider Directory

National Provider Directory

Locations

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)CodeLicenseStatePrimary
Ambulance 341600000X 954 VA
Ambulance 341600000X 964 VA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
190001381OtherVAMEDICARE PTAN
010275211MedicaidVA
P00316108OtherVARAILROAD MEDICARE

Other names 1

NPPES NPI Registry
  • County of Orange Fire & EMS Doing business as

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.

Verify at the official NPI Registry.