Active NPI
North Halifax Volunteer Fire Department
- Land Ambulance
- Nathalie, VA
National Provider Identifier
1386737575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070207000110 | VA | Part B Supplier - Ambulance Service Supplier | 8325040173 | Practice locations: Nathalie, VA |
National Provider Directory
National Provider DirectoryLocations
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.