Active NPI
Boydton Life Station Inc
- Land Ambulance
- Boydton, VA
National Provider Identifier
1861441073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BOYDTON LIFE STATION INC
- Practice address
- 349 Madison St
Boydton, VA 23917-3102 - Phone
- (434) 738-6896
- Fax
- (434) 738-6896
- NPI assigned
- May 8, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Emit Toone
- Title
- Captain
- Phone
- (434) 738-6896
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 553 | VA | |
| Land Ambulance | 3416L0300X | VA | Primary |
Addresses
Primary practice location
349 Madison St
Boydton, VA 23917-3102
Mailing address
PO Box 182
Boydton, VA 23917
Phone (434) 738-6896
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007372434 | Other | KY | AETNA |
| P00029115 | Other | GA | PALMETTO GBA RR MEDICARE |
| 465597 | Other | VA | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091221000045 | VA | Part B Supplier - Ambulance Service Supplier | 2668512872 | Practice locations: Boydton, VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1861441073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182",
"city": "BOYDTON",
"state": "VA",
"postal_code": "23917",
"telephone_number": "434-738-6896",
"fax_number": "434-738-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 MADISON ST",
"city": "BOYDTON",
"state": "VA",
"postal_code": "239173102",
"telephone_number": "434-738-6896",
"fax_number": "434-738-6896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOYDTON LIFE STATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "TOONE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "EMIT",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "434-738-6896",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "553",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007372434",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RR MEDICARE",
"identifier": "P00029115",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "465597",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boydton, VA
- Boydton Community Health Facility Inc (Boydton Community Pharmacy)
- Boydton Community Health Facility Inc (Boydton Dental Center)
- Boydton Community Health Facility, Inc (Family Counseling Center)
- Boydton Community Health Facility, Inc. (Healthcare on the Square)
- Boydton Community Pharmacy
- Monica Jeanne Boyer, MHS, LAT, ATC
- Elaine M Cole, LCSW
- William Joseph Coleman, PHARMD, MBA
- Commonwealth of Virginia State Board of Health (Mecklenburg County Health Department)
- Lina Sue Crowder, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.