City of Lexington

Organization Active NPI Ambulance · Lexington, VA

NPI 1831299536 · NPPES record last updated Nov 6, 2007

Key facts

NPI
1831299536
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
Legal business name
CITY OF LEXINGTON
Practice address
306 Spotswood Drive
Lexington, VA 24450
Phone
(540) 853-0699
Fax
(540) 344-5674
NPI assigned
Sep 22, 2006
Organization subpart
No

Authorized official

Name
Mr. T Jon Ellestad
Title
City Manager
Phone
(540) 463-5433

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040507000418 VA Part B Supplier - Ambulance Service Supplier 3678562444 Practice locations: Lexington, VA

National Provider Directory

Locations

300 E Washington St
Lexington, VA 24450

306 Spotswood Dr
Lexington, VA 24450
Phone (540) 853-0699

350 Spotswood Dr
Lexington, VA 24450
Phone (540) 463-5433

708 S Main St
Lexington, VA 24450
Phone (540) 463-3210

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Yes

Addresses

Primary practice location

306 Spotswood Drive
Lexington, VA 24450

Mailing address

PO Box 12533
Roanoke, VA 24026-2533
Phone (540) 981-8612

Other identifiers

IdentifierTypeStateIssuer
188592OtherVAANTHEM BCBS

Other providers in Lexington, VA

All providers in Lexington, VA · Ambulance in Virginia

Sources for this page

Verify at the official NPI Registry.