Organization Active NPI

Wiley Ford Volunteer Fire Company

  • Ambulance
  • Wiley Ford, WV
National Provider Identifier
1437580651
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
WV EMS Issued in WY
Legal business name
WILEY FORD VOLUNTEER FIRE COMPANY
Practice address
149 Stately Street
Wiley Ford, WV 26767
Phone
(304) 738-2121
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Bill Lindsay
Title
Chief
Phone
(304) 738-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WV EMS WY Primary

Addresses

Primary practice location

149 Stately Street
Wiley Ford, WV 26767

Mailing address

836 4TH Ave
Huntington, WV 25701-1407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140813001888 WV Part B Supplier - Ambulance Service Supplier 1850518929 Practice locations: Wiley Ford, WV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1437580651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 STATELY STREET",
            "city": "WILEY FORD",
            "state": "WV",
            "postal_code": "26767",
            "telephone_number": "304-738-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY FORD VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-738-2121"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WY",
            "license": "WV EMS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiley Ford, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.