Organization Active NPI

Boiling Springs Volunteer Fire Department and Rescue Squad Inc

  • Land Ambulance
  • Covington, VA
National Provider Identifier
1508604000
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BOILING SPRINGS VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Practice address
5407 Potts Creek Rd
Covington, VA 24426-7116
Phone
(540) 968-6485
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Sandra Givens Byer
Title
Rescue Squad Captain
Phone
(540) 968-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5407 Potts Creek Rd
Covington, VA 24426-7116

Mailing address

105 Broken Arrow LN
Covington, VA 24426-6821
Phone (540) 968-6485

Other practice location 1

4911 Rich Patch RD
Covington - VA, VA 24426
Phone (540) 968-6485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120000602 VA Part B Supplier - Ambulance Service Supplier 3072048610 Practice locations: Covington, VA

National Provider Directory

National Provider Directory

Locations

5407 Potts Creek Rd
Covington, VA 24426
Phone (540) 213-0528

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1508604000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BROKEN ARROW LN",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244266821",
            "telephone_number": "540-968-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 POTTS CREEK RD",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244267116",
            "telephone_number": "540-968-6485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4911 Rich Patch RD",
            "address_purpose": "LOCATION",
            "city": "COVINGTON - VA",
            "state": "VA",
            "postal_code": "24426",
            "country_code": "US",
            "telephone_number": "540-968-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOILING SPRINGS VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BYER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "GIVENS",
        "authorized_official_title_or_position": "RESCUE SQUAD CAPTAIN",
        "authorized_official_telephone_number": "540-968-6485"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.