Active NPI
Tazewell County Fire Rescue Inc
- Ambulance
- Tazewell, VA
National Provider Identifier
1386632743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1152
- Legal business name
- TAZEWELL COUNTY FIRE RESCUE INC
- Practice address
- 725 Fairground Rd
Tazewell, VA 24651-9790 - Phone
- (276) 979-9599
- Fax
- (276) 979-9699
- NPI assigned
- Oct 11, 2005
- Last updated
- Dec 5, 2008
- 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
- Mrs. Mary T Gentile
- Title
- Authorized Agent
- Phone
- (800) 452-8191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1152 | VA | Primary |
Addresses
Primary practice location
725 Fairground Rd
Tazewell, VA 24651-9790
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00263241 | Other | VA | RAILROAD MEDICARE |
| 010040485 | Medicaid | VA | |
| 3810013546 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1386632743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290184",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061290184",
"telephone_number": "800-452-8191",
"fax_number": "860-721-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 FAIRGROUND RD",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246519790",
"telephone_number": "276-979-9599",
"fax_number": "276-979-9699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAZEWELL COUNTY FIRE RESCUE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-11",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "800-452-8191",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "1152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00263241",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010040485",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810013546",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tazewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.