Keokee Volunteer Fire and Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

807 Issued in VA

Legal business name

KEOKEE VOLUNTEER FIRE AND RESCUE

Practice address

153 Fire Hall Road
Keokee, VA 24265-0129

Phone

(276) 565-4110

Fax

(276) 565-4110

NPI assigned

May 6, 2008

Organization subpart

No

Name

Adam Brody Sharrett

Title

Captain

Phone

(276) 708-5571

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2021.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1154597565",
    "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": "153 FIRE HALL ROAD",
            "city": "KEOKEE",
            "state": "VA",
            "postal_code": "242650129",
            "telephone_number": "276-565-4110",
            "fax_number": "276-565-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOKEE VOLUNTEER FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2021-10-08",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "SHARRETT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "BRODY",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "276-708-5571"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.