Active NPI
Ghent Area Volunteer Fire Dept., Inc.
- Land Ambulance
- Ghent, WV
National Provider Identifier
1245334549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145860000 | Medicaid | WV |
Other names 1
- Ghent Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120515000438 | WV | Part B Supplier - Ambulance Service Supplier | 8820251663 | Practice locations: Ghent, WV |
National Provider Directory
National Provider DirectoryNPI 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.