Maysville Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

WVEMS Issued in WV

Legal business name

MAYSVILLE VOLUNTEER FIRE COMPANY

Practice address

Route 42
Maysville, WV 26833

Phone

(304) 749-7731

Fax

(304) 749-8087

NPI assigned

Sep 10, 2009

Last updated

Mar 11, 2010By 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

Mike Wheeler

Title

Provider Relations Specialist

Phone

(800) 676-4785

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1205169133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVENUE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "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 42",
            "city": "MAYSVILLE",
            "state": "WV",
            "postal_code": "26833",
            "telephone_number": "304-749-7731",
            "fax_number": "304-749-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYSVILLE VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "800-676-4785"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016620",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Jordan Kile
• Madison Kirby
• Vicki Kitzmiller
• Patricia Long
• Maxim
• Bradley Miller
• Fawn Miller
• William Arnold Moreland
• Jessica Poore
• Monica Shirk

• Land Ambulance in Maysville, WV
• Providers in Maysville, 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 Mar 11, 2010; 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.