Organization Active NPI

The Troutdale Community Volunteer Fire Department and Rescue Squad Inc

  • Land Ambulance
  • Troutdale, VA
National Provider Identifier
1518420876
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE TROUTDALE COMMUNITY VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Practice address
291 Ripshin Road
Troutdale, VA 24378
Phone
(276) 677-3566
Fax
(276) 677-0205
NPI assigned
Apr 12, 2019
Last updated
Apr 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Judy Arnold
Title
Captain
Phone
(276) 677-3566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

291 Ripshin Road
Troutdale, VA 24378

Mailing address

PO Box 160
Troutdale, VA 24378-0160
Phone (276) 677-3566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190509000552 VA Part B Supplier - Ambulance Service Supplier 3476895657 Practice locations: Troutdale, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1518420876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "TROUTDALE",
            "state": "VA",
            "postal_code": "243780160",
            "telephone_number": "276-677-3566",
            "fax_number": "276-677-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 RIPSHIN ROAD",
            "city": "TROUTDALE",
            "state": "VA",
            "postal_code": "24378",
            "telephone_number": "276-677-3566",
            "fax_number": "276-677-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TROUTDALE COMMUNITY VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "276-677-3566"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutdale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.