Galax Grayson Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

00196 Issued in VA

Legal business name

GALAX GRAYSON EMERGENCY MEDICAL SERVICES

Doing business as

City Of Galax DBA Galax Grayson EMS

Practice address

305 W Oldtown St
Galax, VA 24333-3821

Phone

(276) 236-3441

Fax

(276) 236-4640

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald D Passmore, NREMT-P

Title

Chief of EMS

Phone

(276) 236-3441

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City Of Galax DBA Galax Grayson EMS 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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1992706725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E GRAYSON ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332903",
            "telephone_number": "276-236-3441",
            "fax_number": "276-236-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W OLDTOWN ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333821",
            "telephone_number": "276-236-3441",
            "fax_number": "276-236-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAX GRAYSON EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "PASSMORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "276-236-3441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "00196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009001352",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "096167",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Of Galax DBA Galax Grayson EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia C Frost, LCSW
• Mara Michelle Fuller, LCSW
• Kecia Lea Furrow, HIS
• William Marshall Furrow, OPTICIAN
• Galax City Public Schools
• Galax Radiology Inc
• Galax Rehabilitation Services, Inc.
• Galax Treatment Center, Inc
• Galax Treatment Center, LLC
• Landon Wellford Garland Jr., MD

• Land Ambulance in Galax, VA
• Providers in Galax, 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 29, 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.