Unionport Volunteer Fire and Rescue Incorporated

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020734950 Issued in OH

Legal business name

UNIONPORT VOLUNTEER FIRE AND RESCUE INCORPORATED

Doing business as

Unionport Vol Fire & Rescue Inc

Practice address

3619 Co. Highway 39
Bloomingdale, OH 43910

Phone

(740) 944-1587

Fax

(740) 944-1385

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Corey Virtue

Title

Chief

Phone

(740) 944-1587

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Unionport Vol Fire & Rescue Inc Doing business as

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1649280025",
    "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": "257011704",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 CO. HIGHWAY 39",
            "city": "BLOOMINGDALE",
            "state": "OH",
            "postal_code": "43910",
            "telephone_number": "740-944-1587",
            "fax_number": "740-944-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIONPORT VOLUNTEER FIRE AND RESCUE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "VIRTUE",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "740-944-1587"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020734950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590009972",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00000015572",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349055",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OH",
            "identifier": "00000015572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unionport Vol Fire & Rescue Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Ann Painter
• Rikkijo Marie Salsberry
• Sara Stewart
• Aubrie Sutton
• Cassaundra Thomas, PMHNP-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 Aug 15, 2024; 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.