Active NPI
Smyth County Board of Supervisors
- Land Ambulance
- Marion, VA
National Provider Identifier
1912619081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SMYTH COUNTY BOARD OF SUPERVISORS
- Practice address
- 121 Bagley Cir Ste 100
Marion, VA 24354-3140 - Phone
- (276) 706-8310
- Fax
- (270) 744-8642
- NPI assigned
- Dec 20, 2022
- 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. Curtis William Crawford
- Title
- Emergency Services Coordinator
- Phone
- (276) 706-8310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
121 Bagley Cir Ste 100
Marion, VA 24354-3140
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-8413
Other names 1
- Smyth County Public Safety
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230605000022 | VA | Part B Supplier - Ambulance Service Supplier | 5395102529 | Practice locations: Atkins, VA; Marion, VA; Saltville, VA |
National Provider Directory
National Provider DirectoryLocations
121 Bagley Cir
Ste 100
Marion, VA 24354
Phone (276) 706-8310
126 Battleground Ave
Saltville, VA 24370
Phone (276) 496-4531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1912619081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-8413",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 BAGLEY CIR STE 100",
"city": "MARION",
"state": "VA",
"postal_code": "243543140",
"telephone_number": "276-706-8310",
"fax_number": "270-744-8642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMYTH COUNTY BOARD OF SUPERVISORS",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "EMERGENCY SERVICES COORDINATOR",
"authorized_official_telephone_number": "276-706-8310",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smyth County Public Safety",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.