Castlewood Fire and Rescue, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CASTLEWOOD FIRE AND RESCUE, INC.

Practice address

103 Donnie Dean Drive
Castlewood, VA 24224-0009

Phone

(276) 762-0242

Fax

(276) 762-2222

NPI assigned

Jun 3, 2006

Organization subpart

No

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

Authorized official

Name

Stephen Brandon McAllister

Title

Chief

Phone

(276) 762-0242

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1124066840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DONNIE DEAN DRIVE",
            "city": "CASTLEWOOD",
            "state": "VA",
            "postal_code": "242240009",
            "telephone_number": "276-762-0242",
            "fax_number": "276-762-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEWOOD FIRE AND RESCUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "276-762-0242"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "465595",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010012414",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00053971",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Benjamin Fields

• All providers in Castlewood, VA
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.