Amelia Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

862 Issued in VA

Legal business name

AMELIA AMBULANCE SERVICE INC

Practice address

16601 Egglestetton Rd
Amelia Court House, VA 23002-4902

Phone

(804) 561-7182

Fax

(804) 561-1658

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Russell Alley Jr.

Title

Operations Manger

Phone

(804) 561-7182

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780797159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 EGGLESTETTON RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024902",
            "telephone_number": "804-561-7182",
            "fax_number": "804-561-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 EGGLESTETTON RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024902",
            "telephone_number": "804-561-7182",
            "fax_number": "804-561-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OPERATIONS MANGER",
        "authorized_official_telephone_number": "804-561-7182",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90-1133-1",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "179722",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia County Public Schools
• Amelia Family Dentistry Dre PLL
• Amelia Operating Realty, LLC (Wellsprings at Amelia)
• Amelia Pharmacy Inc
• Amelia Pharmacy Inc (Family Pharmacy Amelia Long Term Care)

• Land Ambulance in Amelia Court House, VA
• Providers in Amelia Court House, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.