Organization Active NPI

Clarke County Fire & EMS

  • Land Ambulance
  • Berryville, VA
National Provider Identifier
1881087609
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CLARKE COUNTY FIRE & EMS
Practice address
101 Chalmers CT
Suite B
Berryville, VA 22611-1387
Phone
(540) 955-5113
Fax
(540) 955-5170
NPI assigned
Mar 18, 2015
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Allen F Davis
Title
Director
Phone
(540) 955-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

101 Chalmers CT
Suite B
Berryville, VA 22611-1387

Mailing address

101 Chalmers CT
Suite B
Berryville, VA 22611-1387
Phone (540) 955-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150519000296 VA Part B Supplier - Ambulance Service Supplier 2466772249 Practice locations: Berryville, VA; Bluemont, VA; Boyce, VA

National Provider Directory

National Provider Directory
Tax ID family
Clarke County Fire EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Chalmers Ct
Ste B
Berryville, VA 22611
Phone (540) 955-5113

9 S Buckmarsh St
Berryville, VA 22611
Phone (540) 955-1110

131 Retreat Rd
Bluemont, VA 20135
Phone (540) 955-4000

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1881087609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHALMERS CT",
            "address_2": "SUITE B",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111387",
            "telephone_number": "540-955-5113",
            "fax_number": "540-955-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHALMERS CT",
            "address_2": "SUITE B",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111387",
            "telephone_number": "540-955-5113",
            "fax_number": "540-955-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE COUNTY FIRE & EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-955-5113"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.

Verify at the official NPI Registry.