Marion Life Saving Crew

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

205 Issued in VA

Legal business name

MARION LIFE SAVING CREW

Practice address

230 S Park St
Marion, VA 24354-2929

Phone

(276) 783-4500

Fax

(276) 783-1442

NPI assigned

Jan 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Clarence Shupe Jr., PARAMEDIC

Title

Billing Officer

Phone

(276) 783-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NONE Other name

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841279189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARION LIFE SAVING CREW INC.",
            "address_2": "PO BOX 784",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243540784",
            "telephone_number": "276-783-4500",
            "fax_number": "276-783-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S PARK ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243542929",
            "telephone_number": "276-783-4500",
            "fax_number": "276-783-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION LIFE SAVING CREW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUPE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "276-783-4500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000000397107",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Keith Lowry, LPC
• Rebecca Ann Lundy, FNP
• Ashlyn Alizabeth Lyon
• Zachary Thomas Manuel
• Marion Chiropractic Center LLC
• Marion Pediatric Associates, P.C.
• Marion VA Clinic
• Brittany Ariann Marshall, COTA
• Taylor Faith Marvin, PA-C
• Mary E. Curtiss, MD, PC

• Land Ambulance in Marion, VA
• Providers in Marion, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.