Northumberland County Board of Supervisors

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1346 Issued in VA

Legal business name

NORTHUMBERLAND COUNTY BOARD OF SUPERVISORS

Doing business as

Northumberland County Dept. of Emergency Services

Practice address

72 Monument PL
Heathsville, VA 22473-3336

Phone

(804) 333-4593

NPI assigned

Apr 16, 2015

Last updated

Apr 16, 2015By 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

Mary K Baughan

Title

Billing Supervisor

Phone

(804) 333-4593

Specialties & licenses 1

Addresses

Other names 1

• Northumberland County Dept. of Emergency Services Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1952798043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225720070",
            "telephone_number": "804-333-4593",
            "fax_number": "804-333-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MONUMENT PL",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "224733336",
            "telephone_number": "804-333-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHUMBERLAND COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "BAUGHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "804-333-4593"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "1346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northumberland County Dept. of Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn J. Koontz-Kean, L.C.S.W.
• Kayla Langford, FNP-C
• Amber Lavery, FNP-C
• Debra L Levin
• Gwendolyn Maurice, LPA
• Northumberland County Dental Clinic (Three Rivers Health District)
• Northumberland Pharmacy Inc (Northumberland Pharmacy)
• Carl Perez
• William A Risk, PT
• Kayana Roane

• Ambulance in Heathsville, VA
• Providers in Heathsville, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.