Active NPI
Rescue 33 Ambulance Service Inc
- Land Ambulance
- Grundy, VA
National Provider Identifier
1902867906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1142
- Legal business name
- RESCUE 33 AMBULANCE SERVICE INC
- Practice address
- Rescue 33 Ambulance
1058 Almarine Drive
Grundy, VA 24614 - Phone
- (276) 935-4911
- NPI assigned
- Mar 29, 2006
- 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. Randy Suber
- Title
- Owner
- Phone
- (276) 935-4911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1142 | VA | Primary |
Addresses
Primary practice location
Rescue 33 Ambulance
1058 Almarine Drive
Grundy, VA 24614
Mailing address
PO Box 911
Mabscott, WV 25871-0911
Phone (304) 575-2866
Other practice location 1
Slate Creek Road
Route 83
Grundy, VA 24614
Phone (276) 935-4448
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287558 | Other | VA | ANTHEM BCBS |
| 8040019-000 | Medicaid | WV | |
| 9011919 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091228000195 | VA | Part B Supplier - Ambulance Service Supplier | 9638219579 | Practice locations: Grundy, VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1902867906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911",
"city": "MABSCOTT",
"state": "WV",
"postal_code": "258710911",
"telephone_number": "304-575-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RESCUE 33 AMBULANCE",
"address_2": "1058 ALMARINE DRIVE",
"city": "GRUNDY",
"state": "VA",
"postal_code": "24614",
"telephone_number": "276-935-4911"
}
],
"practiceLocations": [
{
"address_1": "SLATE CREEK ROAD",
"address_2": "ROUTE 83",
"address_purpose": "LOCATION",
"city": "GRUNDY",
"state": "VA",
"postal_code": "24614",
"country_code": "US",
"telephone_number": "276-935-4448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RESCUE 33 AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2024-03-05",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "SUBER",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-935-4911",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "1142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "287558",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8040019-000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9011919",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.