Glen Lyn Volunteer Fire and Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GLEN LYN VOLUNTEER FIRE AND RESCUE

Practice address

300 East River Mountain Road
Glen Lyn, VA 24093

Phone

(540) 599-1905

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Shawn Farewell

Title

EMS Captain

Phone

(540) 599-1905

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Scott Hayes, MD

  • Family Medicine Physician
  • Pearisburg, VA
  • NPI 1528040060
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1619567005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST RIVER MOUNTAIN ROAD",
            "city": "GLEN LYN",
            "state": "VA",
            "postal_code": "24093",
            "telephone_number": "540-599-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN LYN VOLUNTEER FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "FAREWELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "540-599-1905"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.