Gloucester Volunteer Fire and Rescue Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GLOUCESTER VOLUNTEER FIRE AND RESCUE SQUAD, INC.

Practice address

6595 Main St
Gloucester, VA 23061-6103

Phone

(804) 693-2148

NPI assigned

Sep 6, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph W Lenderman, PARAMEDIC

Title

Assistant Chief

Phone

(804) 695-6313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Ottarson, NRP

  • Paramedic
  • Gloucester, VA
  • NPI 1710399761
  NPD (past)

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1487489639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230616103",
            "telephone_number": "804-693-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230616103",
            "telephone_number": "804-693-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOUCESTER VOLUNTEER FIRE AND RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LENDERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "804-695-6313",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloucester Mathews Care Clinic
• Gloucester Mathews Care Clinic
• Gloucester Ophthalmic Associates, Inc
• Gloucester Orthopaedic Clinic P C (York River Orthopaedics & Sports Medicine)
• Gloucester Pediatrics, PC
• Shannon Marie Goldsmith, OTR
• Brandi Dalton Gomez, NP
• Gloria J. Gordy, GLORIA GORDY
• John Constantine Gretes, MD
• Katherine C. Haggerty, NP

• Land Ambulance in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.