Lavalette Volunteer Fire Dept

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LAVALETTE VOLUNTEER FIRE DEPT

Practice address

4502 Route 152
Lavalette, WV 25535

Phone

(304) 525-7156

Fax

(304) 525-2829

NPI assigned

Jan 30, 2007

Last updated

Dec 1, 2010By 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

Mike Wheeler

Title

Provider Relations Specialist

Phone

(304) 522-7533

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1538206693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVENUE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-522-7533",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "25535",
            "telephone_number": "304-525-7156",
            "fax_number": "304-525-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVALETTE VOLUNTEER FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "304-522-7533"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145904000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013929",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chester G Kaczor, PHARM.D.
• Grace Avena Kazee
• Kayla Kendrick
• Jessica Lane
• Lavalette Chiropractic Inc
• Jennifer Lewis
• Mainstream Services, Incorporated
• Felicia Mastrangelo
• Georgia Maynard
• Kevin Scott McCann, MD

• Ambulance in Lavalette, WV
• Providers in Lavalette, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.