Greene County Administrator

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

116 Issued in VA

Legal business name

GREENE COUNTY ADMINISTRATOR

Doing business as

Greene County Rescue Squad

Practice address

40 Celt Road
Stanardsville, VA 22973-0000

Phone

(434) 985-5201

NPI assigned

Sep 27, 2011

Last updated

Sep 27, 2011By 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. Barry Clark

Title

County Administrator

Phone

(434) 985-5201

Specialties & licenses 1

Addresses

Other names 1

• Greene County Rescue Squad Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Greene Co Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greene Co Dental Clinic

  • Dentist
  • Stanardsville, VA
  • NPI 1972538163
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Daniel Mace, DO

  • Medical Toxicology (Emergency Medicine) Physician
  • Charlottesville, VA
  • NPI 1558867127
  NPD

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1992088744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "STANARDSVILLE",
            "state": "VA",
            "postal_code": "229730358",
            "telephone_number": "434-985-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CELT ROAD",
            "city": "STANARDSVILLE",
            "state": "VA",
            "postal_code": "229730000",
            "telephone_number": "434-985-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY ADMINISTRATOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "434-985-5201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene County Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Field
• Golden Horseshoe Health Services, Inc. (Greene Pharmacy)
• Greene Acres Rehabilitation and Nursing LLC (Greene Acres Rehabilitation and Nursing)
• Greene Care Clinic Inc
• Greene Co Dental Clinic
• Greene County Public Schools
• Greene County Rescue Squad
• HP / Stanardsville, Inc.
• HP/Standardsville, Inc. (Evergreene Nursing Care Center)
• HP/Standardsville, Inc. (Evergreene Nursing Care Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.