Organization Active NPI

Victoria Fire and Rescue Company, Incorporated

  • Ambulance
  • Victoria, VA
National Provider Identifier
1790731263
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
402 Issued in VA
Legal business name
VICTORIA FIRE AND RESCUE COMPANY, INCORPORATED
Practice address
1421 Main St
Victoria, VA 23974-9201
Phone
(804) 696-2605
NPI assigned
May 26, 2006
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Rodney C Newton
Title
Chief
Phone
(434) 447-9715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 402 VA Primary

Addresses

Primary practice location

1421 Main St
Victoria, VA 23974-9201

Mailing address

PO Box 1419
Victoria, VA 23974-1419
Phone (434) 696-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000554 VA Part B Supplier - Ambulance Service Supplier 2264451590 Practice locations: Victoria, VA

National Provider Directory

National Provider Directory

Locations

1421 Main St
Victoria, VA 23974
Phone (434) 696-2605

1421 Main St
Victoria, VA 23974
Phone (434) 696-2605

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1790731263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1419",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239741419",
            "telephone_number": "434-696-2605",
            "fax_number": "434-696-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MAIN ST",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239749201",
            "telephone_number": "804-696-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA FIRE AND RESCUE COMPANY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "434-447-9715"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.