Anthony Creek Volunteer Fire Department & Rescue Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

WV EMS Issued in WV

Legal business name

ANTHONY CREEK VOLUNTEER FIRE DEPARTMENT & RESCUE SQUAD

Practice address

HC 70 Box N10
Neola, WV 24961

Phone

(304) 536-1636

Fax

(304) 536-1636

NPI assigned

Apr 30, 2007

Last updated

Apr 20, 2008By 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 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1568682680",
    "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": "HC 70 BOX N10",
            "city": "NEOLA",
            "state": "WV",
            "postal_code": "24961",
            "telephone_number": "304-536-1636",
            "fax_number": "304-536-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY CREEK VOLUNTEER FIRE DEPARTMENT & RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-04-20",
        "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": "WV EMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144781000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.