Organization Active NPI

Parkwood Volunteer Fire Dept Inc

  • Land Ambulance
  • Durham, NC
National Provider Identifier
1467406116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1088 Issued in NC
Legal business name
PARKWOOD VOLUNTEER FIRE DEPT INC
Practice address
1409 Seaton Rd
Durham, NC 27713-2428
Phone
(919) 361-0927
Fax
(919) 544-7296
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Randy W McCray
Title
President
Phone
(919) 361-0927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1088 NC Primary

Addresses

Primary practice location

1409 Seaton Rd
Durham, NC 27713-2428

Mailing address

PO Box 12224
Research Triangle Park, NC 27709-2224
Phone (919) 361-0927

Other identifiers 1

IdentifierTypeStateIssuer
3406874MedicaidNC

National Provider Directory

National Provider Directory

Locations

1409 Seaton Rd
Durham, NC 27713
Phone (919) 361-0927

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467406116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12224",
            "city": "RESEARCH TRIANGLE PARK",
            "state": "NC",
            "postal_code": "277092224",
            "telephone_number": "919-361-0927",
            "fax_number": "919-544-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 SEATON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132428",
            "telephone_number": "919-361-0927",
            "fax_number": "919-544-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD VOLUNTEER FIRE DEPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-361-0927",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406874",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.