Virginia Lifeline Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

762 Issued in VA

Legal business name

VIRGINIA LIFELINE AMBULANCE SERVICE INC

Practice address

4396 Logan LN
Chincoteague, VA 23336-2632

Phone

(757) 336-5402

Fax

(757) 336-5711

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dwayne Hampton

Title

President

Phone

(757) 336-5402

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1851325351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 LOGAN LN",
            "address_2": "P.O BOX 317",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362632",
            "telephone_number": "757-336-5402",
            "fax_number": "757-336-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 LOGAN LN",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362632",
            "telephone_number": "757-336-5402",
            "fax_number": "757-336-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA LIFELINE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-336-5402"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "762",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Chincoteague, VA
• Providers in Chincoteague, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.