Ryland Heights and Community Volunteer Fire Dept Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1305 Issued in KY

Legal business name

RYLAND HEIGHTS AND COMMUNITY VOLUNTEER FIRE DEPT INC

Practice address

10041 Decoursey Pike
Ryland Heights, KY 41015

Phone

(859) 356-7970

Fax

(859) 356-7970

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Collins

Title

Squad Chief

Phone

(859) 356-7970

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1114996196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-522-7533",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 DECOURSEY PIKE",
            "city": "RYLAND HEIGHTS",
            "state": "KY",
            "postal_code": "41015",
            "telephone_number": "859-356-7970",
            "fax_number": "859-356-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYLAND HEIGHTS AND COMMUNITY VOLUNTEER FIRE DEPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "SQUAD CHIEF",
        "authorized_official_telephone_number": "859-356-7970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000187253",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55059067",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.