County of Wythe Board of Supervisors

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF WYTHE BOARD OF SUPERVISORS

Doing business as

Wythe County Board of Supervisors
Wythe County Emergency Services

Practice address

340 S 6TH St
Wytheville, VA 24382-2513

Phone

(276) 620-8916

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cody G Jackson

Title

Emergency Services Consultant

Phone

(276) 620-8916

Specialties & licenses 1

Addresses

Other names 2

• Wythe County Board of Supervisors Doing business as
• Wythe County Emergency Services Doing business as

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1952162273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S 6TH ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822513",
            "telephone_number": "276-620-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S 6TH ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822513",
            "telephone_number": "276-620-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WYTHE BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EMERGENCY SERVICES CONSULTANT",
        "authorized_official_telephone_number": "276-620-8916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wythe County Board of Supervisors",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wythe County Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geralyn Marie Conway, LCSW
• Richard Garland Copenhaver, DDS
• Savanna Shea Cornett, LCSW
• Counseling Associates of Wytheville, LLC
• Counts Drug Company Inc (Counts Drug Co Inc)
• Ruth R Cox, LCSW
• Mary Crawford, PHARMD
• Renae Cregger, PHARMD
• Andrea Crigger, AGPCNP
• Jenny L Cyphers, NP

• Land Ambulance in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.