Organization Active NPI

United Ambulance Service Inc

  • Land Ambulance
  • Roanoke, VA
National Provider Identifier
1790761864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
508 Issued in VA
Legal business name
UNITED AMBULANCE SERVICE INC
Practice address
2701 Shenandoah Ave NW
Roanoke, VA 24017-5249
Phone
(540) 981-0400
Fax
(540) 344-6712
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Teresa T Durney-McCormick
Title
Office Manager
Phone
(540) 981-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 508 VA Primary

Addresses

Primary practice location

2701 Shenandoah Ave NW
Roanoke, VA 24017-5249

Mailing address

2701 Shenandoah Ave NW
Roanoke, VA 24017-5249
Phone (540) 981-0400

Other identifiers 2

IdentifierTypeStateIssuer
096165OtherVAANTHEM BCBS
1299888OtherVAUMWA

National Provider Directory

National Provider Directory

Locations

2701 Shenandoah Ave NW
Roanoke, VA 24017
Phone (540) 981-0400

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790761864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SHENANDOAH AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240175249",
            "telephone_number": "540-981-0400",
            "fax_number": "540-344-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SHENANDOAH AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240175249",
            "telephone_number": "540-981-0400",
            "fax_number": "540-344-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURNEY-MCCORMICK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-981-0400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "096165",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1299888",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.