Highlands Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

948 Issued in VA

Legal business name

HIGHLANDS AMBULANCE SERVICE INC

Practice address

265 W.Main Street
Lebanon, VA 24266-3900

Phone

(276) 889-5877

Fax

(276) 889-5799

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jason Allen Sutherland

Title

Owner President

Phone

(276) 889-5877

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1932271301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-889-0600",
            "fax_number": "276-889-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W.MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663900",
            "telephone_number": "276-889-5877",
            "fax_number": "276-889-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "276-889-5877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "948",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "252970",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009012141",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "=========",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Hansen, F.N.P.-C
• Martin Heim III, PHARMD
• Tionna Heredia, M.ED
• Kelli Lynne Hess, PHARM.D.
• Shelley V Hicks, MSN, FNP-C
• Highlands Sleep Diagnostics, Inc.
• Highpower, PC
• Abigail Gracen Hill, BSN, RN
• Tina Michelle Hill
• Hartley Hilton, DPT, PT

• All providers in Lebanon, VA
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.