Wayne Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WAYNE VOLUNTEER FIRE DEPARTMENT

Practice address

Route 152
Wayne, WV 25570

Phone

(304) 272-5656

Fax

(304) 272-3189

NPI assigned

Jul 21, 2005

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry Maynard

Title

Chief

Phone

(304) 272-5656

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1154321024",
    "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": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 152",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "25570",
            "telephone_number": "304-272-5656",
            "fax_number": "304-272-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-272-5656"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145574000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929491",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000863",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "223386",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne County Health Department
• Wayne County Health Department
• Wayne Dental - Valley Health
• Wayne Nursing & Rehabilitation Center LLC
• Wayne SNF LLC (Wayne Rehab & Nursing Center)
• Ashleigh White
• Cheyann Marie White
• Joanna Wiley
• Cheryl Lynn Williams, RPH
• Karen Renee Williams

• Land Ambulance in Wayne, WV
• Providers in Wayne, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.