Organization Active NPI

Chadbourn Volunteer Fire Dept & Rescue

  • Land Ambulance
  • Chadbourn, NC
National Provider Identifier
1669429437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CHADBOURN VOLUNTEER FIRE DEPT & RESCUE
Practice address
204 N Wilson St
Chadbourn, NC 28431-1838
Phone
(910) 654-1060
Fax
(910) 654-1717
NPI assigned
May 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Allen Yates
Title
Chief
Phone
(910) 654-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

204 N Wilson St
Chadbourn, NC 28431-1838

Mailing address

204 N Wilson St
Chadbourn, NC 28431-1838
Phone (910) 654-1060

Other identifiers 1

IdentifierTypeStateIssuer
3406721MedicaidNC

National Provider Directory

National Provider Directory

Locations

204 N Wilson St
Chadbourn, NC 28431
Phone (336) 945-3088

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669429437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N WILSON ST",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311838",
            "telephone_number": "910-654-1060",
            "fax_number": "910-654-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N WILSON ST",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311838",
            "telephone_number": "910-654-1060",
            "fax_number": "910-654-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADBOURN VOLUNTEER FIRE DEPT & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "910-654-1060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406721",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadbourn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.