Organization Active NPI

Town of Clifton Forge

  • Ambulance
  • Clifton Forge, VA
National Provider Identifier
1891439972
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TOWN OF CLIFTON FORGE
Practice address
701 Church St
Clifton Forge, VA 24422-1742
Phone
(540) 863-2516
NPI assigned
Apr 25, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Charles Unroe
Title
Town Manager
Phone
(408) 632-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

701 Church St
Clifton Forge, VA 24422-1742

Mailing address

PO Box 63327
Charlotte, NC 28263-3327
Phone (540) 863-2500

Other names 1

  • Clifton Forge Fire Department Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927002271 VA Part B Supplier - Ambulance Service Supplier 7719363829 Practice locations: Clifton Forge, VA

National Provider Directory

National Provider Directory

Locations

701 Church St
Clifton Forge, VA 24422
Phone (540) 863-2516

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1891439972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63327",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633327",
            "telephone_number": "540-863-2500",
            "fax_number": "540-213-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CHURCH ST",
            "city": "CLIFTON FORGE",
            "state": "VA",
            "postal_code": "244221742",
            "telephone_number": "540-863-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CLIFTON FORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "UNROE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "408-632-5005"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Forge Fire Department",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clifton Forge Fire Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clifton Forge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.