Organization Active NPI

Neon Volunteer Fire Department Inc

  • Ambulance
  • Neon, KY
National Provider Identifier
1124026935
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1655 Issued in KY
Legal business name
NEON VOLUNTEER FIRE DEPARTMENT INC
Practice address
1127 Highway 317
Neon, KY 41840-9091
Phone
(606) 855-7303
Fax
(606) 212-1087
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Carter Bevins
Title
Chief
Phone
(606) 856-7303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1655 KY Primary
Land Ambulance 3416L0300X 1354 KY

Addresses

Primary practice location

1127 Highway 317
Neon, KY 41840-9091

Mailing address

836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576

Other identifiers 10

IdentifierTypeStateIssuer
9014543MedicaidVA
56004500MedicaidKY
=========OtherKYTRICARE
080843500OtherKYBLACK LUNG
7100010910MedicaidKY
000000317417OtherKYANTHEM
000000317417OtherKYANTHEM BLUE SHIELD
=========OtherOHOHIO WORKERS COMP
590008446OtherKYRAILROAD MEDICARE
=========OtherKYUMWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000024 KY Part B Supplier - Ambulance Service Supplier 6002702875 Practice locations: Neon, KY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1124026935",
    "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": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 HIGHWAY 317",
            "city": "NEON",
            "state": "KY",
            "postal_code": "418409091",
            "telephone_number": "606-855-7303",
            "fax_number": "606-212-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEON VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "BEVINS",
        "authorized_official_first_name": "CARTER",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "606-856-7303"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1655",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9014543",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "=========",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080843500",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100010910",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000317417",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000317417",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO WORKERS COMP",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008446",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "=========",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.