Organization Active NPI

Ghent Area Volunteer Fire Dept., Inc.

  • Land Ambulance
  • Ghent, WV
National Provider Identifier
1245334549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GHENT AREA VOLUNTEER FIRE DEPT., INC.
Practice address
2651 Flat Top Road
Ghent, WV 25843
Phone
(304) 787-3196
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Shrewsberry
Title
Secretary Treasurer
Phone
(304) 787-3196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2651 Flat Top Road
Ghent, WV 25843

Mailing address

PO Box 99
Ghent, WV 25843-0099
Phone (304) 787-3196

Other identifiers 1

IdentifierTypeStateIssuer
0145860000MedicaidWV

Other names 1

  • Ghent Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000438 WV Part B Supplier - Ambulance Service Supplier 8820251663 Practice locations: Ghent, WV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245334549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "GHENT",
            "state": "WV",
            "postal_code": "258430099",
            "telephone_number": "304-787-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 FLAT TOP ROAD",
            "city": "GHENT",
            "state": "WV",
            "postal_code": "25843",
            "telephone_number": "304-787-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHENT AREA VOLUNTEER FIRE DEPT., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHREWSBERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "304-787-3196"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145860000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ghent Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ghent, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.