Belvedere Volunteer Fire Department, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02-0324300 Issued in OH

Legal business name

BELVEDERE VOLUNTEER FIRE DEPARTMENT, INC

Practice address

92 Janet Dr
Bloomingdale, OH 43910-7700

Phone

(740) 264-4312

Fax

(740) 264-2613

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Millick

Title

Chief

Phone

(740) 264-4132

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1598854382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 JANET DR",
            "city": "BLOOMINGDALE",
            "state": "OH",
            "postal_code": "439107700",
            "telephone_number": "740-264-4312",
            "fax_number": "740-264-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 JANET DR",
            "city": "BLOOMINGDALE",
            "state": "OH",
            "postal_code": "439107700",
            "telephone_number": "740-264-4312",
            "fax_number": "740-264-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVEDERE VOLUNTEER FIRE DEPARTMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "MILLICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "740-264-4132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0324300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "590012396",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTSTATE",
            "identifier": "000238539",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloomingdale Volunteer Fire Dept
• Derek Chakos
• Kelly Crosby
• East Springfield Volunteer Fire Department Inc.
• Cara Nicolle Gaich, FNP-BC

• Ambulance in Bloomingdale, OH
• Providers in Bloomingdale, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.