Active NPI
Mathews Volunteer Rescue Squad Incorporated
- Ambulance
- Hudgins, VA
National Provider Identifier
1861647281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 00295
- Legal business name
- MATHEWS VOLUNTEER RESCUE SQUAD INCORPORATED
- Practice address
- 94 Cricket Hill Rd.
Hudgins, VA 23076 - Phone
- (804) 725-2800
- Fax
- (804) 725-1156
- NPI assigned
- Nov 26, 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. David Howard Burns
- Title
- Treasurer
- Phone
- (804) 725-9063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 00295 | VA | Primary |
Addresses
Primary practice location
94 Cricket Hill Rd.
Hudgins, VA 23076
Mailing address
PO Box 723
Mathews, VA 23109-0723
Phone (804) 725-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00295 | Other | VA | VIRGINIA STATE OFFICE OF EMERGENCY MEDICAL SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090618000308 | VA | Part B Supplier - Ambulance Service Supplier | 0840340501 | Practice locations: Hudgins, VA |
National Provider Directory
National Provider DirectoryLocations
94 Cricket Hill Rd
Hudgins, VA 23076
Phone (804) 725-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240531200000",
"number": "1861647281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 723",
"city": "MATHEWS",
"state": "VA",
"postal_code": "231090723",
"telephone_number": "804-725-2800",
"fax_number": "804-725-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 CRICKET HILL RD.",
"city": "HUDGINS",
"state": "VA",
"postal_code": "23076",
"telephone_number": "804-725-2800",
"fax_number": "804-725-1156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATHEWS VOLUNTEER RESCUE SQUAD INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-26",
"last_updated": "2009-04-24",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "804-725-9063",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "00295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA STATE OFFICE OF EMERGENCY MEDICAL SERVICES",
"identifier": "00295",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudgins, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.