Cascade Community Volunteer Fire Department Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CASCADE COMMUNITY VOLUNTEER FIRE DEPARTMENT INC

Doing business as

Cascade Volunteer Fire Department

Practice address

5497 Cascade Road
Cascade, VA 24069

Phone

(434) 685-1522

NPI assigned

Jul 9, 2020

Last updated

Mar 12, 2021By 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

Mr. Eric Clark

Title

Chief

Phone

(434) 685-1522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CASCADE VOLUNTEER FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1285252908",
    "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": "5497 CASCADE ROAD",
            "city": "CASCADE",
            "state": "VA",
            "postal_code": "24069",
            "telephone_number": "434-685-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE COMMUNITY VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "434-685-1522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285252908",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASCADE VOLUNTEER FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CASCADE VOLUNTEER FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terri L Barbour
• Cecile Wright Fitzgerald
• Maybelle Hairston
• M&D Medical Transport Services LLC
• Byrd Tyrone Smith
• Barry Christopher Wilson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.