Organization Active NPI

North Halifax Volunteer Fire Department

  • Land Ambulance
  • Nathalie, VA
National Provider Identifier
1386737575
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTH HALIFAX VOLUNTEER FIRE DEPARTMENT
Practice address
4201 Leda Grove Rd
Nathalie, VA 24577-3513
Phone
(434) 349-3500
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Michael J Hardy
Title
EMS Supervisor
Phone
(434) 349-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X VA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4201 Leda Grove Rd
Nathalie, VA 24577-3513

Mailing address

4201 Leda Grove Rd
Nathalie, VA 24577-3513
Phone (434) 349-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000110 VA Part B Supplier - Ambulance Service Supplier 8325040173 Practice locations: Nathalie, VA

National Provider Directory

National Provider Directory

Locations

4201 Leda Grove Rd
Nathalie, VA 24577
Phone (434) 349-3500

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1386737575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LEDA GROVE RD",
            "city": "NATHALIE",
            "state": "VA",
            "postal_code": "245773513",
            "telephone_number": "434-349-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LEDA GROVE RD",
            "city": "NATHALIE",
            "state": "VA",
            "postal_code": "245773513",
            "telephone_number": "434-349-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HALIFAX VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMS SUPERVISOR",
        "authorized_official_telephone_number": "434-349-3500"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nathalie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.