Goodson Kinderhook Volunteer Fire Department Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

00854 Issued in VA

Legal business name

GOODSON KINDERHOOK VOLUNTEER FIRE DEPARTMENT INC

Practice address

19864 Benhams Rd
Bristol, VA 24202-2800

Phone

(276) 669-1251

Fax

(270) 984-1537

NPI assigned

Jul 9, 2006

Last updated

Aug 9, 2023By 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

Fredrick C. Lewis

Title

Treasurer

Phone

(276) 669-1251

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1154354330",
    "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": "19864 BENHAMS RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242022800",
            "telephone_number": "276-669-1251",
            "fax_number": "270-984-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODSON KINDERHOOK VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "276-669-1251"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "00854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00149307",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010106991",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina C Gentry, LPN
• Brandon Heth Gillenwater, D.C.
• Terry H Gillenwater, DC
• Beverly Gene Glenn, RPH
• Donna Margaret Goodpasture
• Jennifer Gosnell, P.T.
• Grace Family Medicine Clinic
• Grace in-Home Care LLC (Gihc)
• Jamie Gray, LPTA
• Alana Greear

• Land Ambulance in Bristol, VA
• Providers in Bristol, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.