SOUTHAMPTON COUNTY BOARD OF SUPERVISORS (NPI# 1679564421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679564421 |
| Entity Type | Organization |
| Organization Name | SOUTHAMPTON COUNTY BOARD OF SUPERVISORS |
| Practice Address |
25436 Bridge St Courtland VA 23837-0000 |
| Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
| Practice Telephone | 7576539221 |
| Practice Fax Number | 7576539711 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707448642 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | MICHAEL WAYNE JOHNSON (COUNTY ADMINISTRATOR) |
| Authorized Official Telephone | 7576533015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
324 | VA | Transportation Services |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
323 | VA | Transportation Services |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
321 | VA | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
322 | VA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 188300 | 01 | |
| VA | 1679564421 | 05 | |
| TRICARE | ========= | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35476 General Mahone Blvd, Ivor, VA 23866 | 7578596611 | |
| 18127 North Railroad Ave., Boykins, VA 23837 | 7576546660 | |
| 18090 Railroad Avenue, Capron, VA 23829 | 4346584600 |
| Street Address |
25436 BRIDGE ST |
| City | COURTLAND |
| State | VA |
| Zip Code | 23837-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777238 | Andrea Hall-leonard | Speech-Language Pathologist | Southampton County Public Schools 21290 Plank Road, Courtland, VA 23837 | 2018-01-04 |
| 1053386979 | Commonwealth of Virginia State Board of Health | Clinic/Center | 26022 Administrative Center Drive, Courtland, VA 23837-0009 | 2006-02-22 |
| 1679049944 | Takeda Hinton | Contractor | 22086 Bateman St, Courtland, VA 23837-1005 | 2018-10-15 |
| 1467915991 | Believe In Me Mobile Phlebotomy Services, LLC | Clinic/Center | 22086 Bateman St, Courtland, VA 23837-1005 | 2019-04-11 |
| 1174938393 | Courtland Hearing Aids and Balance, LLC | Clinic/Center | 22730 Main St, Courtland, VA 23837-1127 | 2014-06-26 |
| 1235449497 | Stacy Ann Brinkley | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2010-10-20 |
| 1194117747 | Mary Babb | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2015-02-19 |
| 1821362856 | Tenecia Renee Brown-shearin | Case Manager/Care Coordinator | 22038 High St, Courtland, VA 23837-1131 | 2012-03-08 |
| 1003829359 | Medical Facilities of America Xliii | Skilled Nursing Facility | 23020 Main St, Courtland, VA 23837-1133 | 2006-08-15 |
| 1871129858 | Savannah Francis | Occupational Therapist | 23020 Main St, Courtland, VA 23837-1133 | 2020-03-21 |
| Find all providers in zip 23837 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440638 | Medstar Ambulance Service, Inc. | Ambulance | 23208 Main St, Courtland, VA 23837-1302 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435088 | Knox Creek Volunteer Fire Department | Ambulance | 8608 Hurley Road, Hurley, VA 24620-0000 | 2020-10-22 |
| 1215548243 | Cougar Run LLC | Ambulance | 959 Va Beach Blvd # 28, Virginia Beach, VA 23451-5678 | 2020-08-13 |
| 1285252908 | Cascade Community Volunteer Fire Department Inc | Ambulance | 5497 Cascade Road, Cascade, VA 24069 | 2020-07-09 |
| 1720607369 | Vanguard Ambulance LLC | Ambulance | 8417 Erle Rd Bay A, Mechanicsville, VA 23116-1507 | 2020-04-14 |
| 1770119836 | Seslogisticgroup | Ambulance | 15032 Lutz Ct, Woodbridge, VA 22193-5773 | 2020-03-20 |
| 1477188563 | Town of Wytheville | Ambulance | 185 W Spring St, Wytheville, VA 24382-2649 | 2020-03-09 |
| 1205460839 | Medic Pro of Virginia | Ambulance | 1296 Carter Rd, Farmville, VA 23901-5887 | 2020-02-21 |
| 1194357962 | Lesley Genevieve Rivers | Ambulance | 142 Samford St, Alberta, VA 23821-2334 | 2020-02-10 |
| 1629609797 | Dignity With Care Transportation Services Inc | Ambulance | 104 N Plains Dr, Petersburg, VA 23805-9110 | 2020-01-28 |
| 1548802002 | Your Choice Medical Transport, LLC | Ambulance | 4011 Evelake Rd, North Chesterfield, VA 23237-2723 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.