Active NPI
Chase City Rescue Squad, Inc.
- Basic Emergency Medical Technician
- Chase City, VA
National Provider Identifier
1912957929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 167
- Legal business name
- CHASE CITY RESCUE SQUAD, INC.
- Practice address
- 335 Mecklenburg Drive
Chase City, VA 23924 - Phone
- (434) 372-2144
- Fax
- (434) 372-0626
- NPI assigned
- May 11, 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. Curtis Dodd Jones, EMTI
- Title
- President
- Phone
- (434) 372-2144
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 167 | VA | |
| Intermediate Emergency Medical Technician | 146M00000X | 167 | VA | |
| Basic Emergency Medical Technician | 146N00000X | 167 | VA | Primary |
Addresses
Primary practice location
335 Mecklenburg Drive
Chase City, VA 23924
Mailing address
PO Box 81
Chase City, VA 23924
Phone (434) 372-2144
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70772 | Other | VA | OPTIMA |
| 465594 | Other | VA | ANTHEM |
| P00021753 | Other | VA | RR MEDICARE |
| 010007372 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
335 Mecklenburg Dr
Chase City, VA 23924
Phone (434) 372-2144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287360000000",
"number": "1912957929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81",
"city": "CHASE CITY",
"state": "VA",
"postal_code": "23924",
"telephone_number": "434-372-2144",
"fax_number": "434-372-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 MECKLENBURG DRIVE",
"city": "CHASE CITY",
"state": "VA",
"postal_code": "23924",
"telephone_number": "434-372-2144",
"fax_number": "434-372-0626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHASE CITY RESCUE SQUAD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2010-10-18",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "DODD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "434-372-2144",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMTI"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": "VA",
"license": "167",
"primary": false
},
{
"code": "146M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Intermediate",
"state": "VA",
"license": "167",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "VA",
"license": "167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "70772",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "465594",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00021753",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010007372",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chase City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.