Chincoteague Volunteer Fire Co

Primary specialty

AmbulanceTaxonomy code 341600000X

License

351 Issued in VA

Legal business name

CHINCOTEAGUE VOLUNTEER FIRE CO

Practice address

4028 Main St
Chincoteague Island, VA 23336-2402

Phone

(757) 336-3138

Fax

(757) 336-6055

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James L Russell, EMT-B

Title

Ambulance Treasurer

Phone

(757) 336-6055

Specialties & licenses 2

Addresses

Other names 1

• Chincoteague Ambulance Fund 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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1104823624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "CHINCOTEAGUE ISLAND",
            "state": "VA",
            "postal_code": "233360331",
            "telephone_number": "757-336-6055",
            "fax_number": "757-336-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 MAIN ST",
            "city": "CHINCOTEAGUE ISLAND",
            "state": "VA",
            "postal_code": "233362402",
            "telephone_number": "757-336-3138",
            "fax_number": "757-336-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINCOTEAGUE VOLUNTEER FIRE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AMBULANCE TREASURER",
        "authorized_official_telephone_number": "757-336-6055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "VA",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chincoteague Ambulance Fund",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia F Beitzel, O.T.
• Robert Coniglio, PA
• Denise Day Crosson, FNP,PH.D.
• H & H Pharmacy
• Hagan Industries LLC
• Island Chiropractic Center

• All providers in Chincoteague Island, VA
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.