Active NPI
Ridgeley Volunteer Fire Company, Inc.
- Land Ambulance
- Ridgeley, WV
National Provider Identifier
1689673030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- RIDGELEY VOLUNTEER FIRE COMPANY, INC.
- Practice address
- 67 Potomac St
Ridgeley, WV 26753-0619 - Phone
- (304) 738-8888
- Fax
- (304) 738-3896
- NPI assigned
- Jul 19, 2005
- Last updated
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Dianna-Len Mongold
- Title
- EMS Captain
- Phone
- (240) 362-3281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
67 Potomac St
Ridgeley, WV 26753-0619
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0063037000 | Medicaid | WV | |
| 001705293 | Other | WV | BLUE CROSS |
| 080015200 | Other | WV | BLACK LUNG |
| 502300900 | Medicaid | MD | |
| 590012694 | Other | WV | RAILROAD MEDICARE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2179742 | Ridgeley Volunteer Fire Department | Certificate of waiver | Mar 1, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1689673030",
"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",
"fax_number": "304-521-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 POTOMAC ST",
"city": "RIDGELEY",
"state": "WV",
"postal_code": "267530619",
"telephone_number": "304-738-8888",
"fax_number": "304-738-3896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGELEY VOLUNTEER FIRE COMPANY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "MONGOLD",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "DIANNA-LEN",
"authorized_official_title_or_position": "EMS CAPTAIN",
"authorized_official_telephone_number": "240-362-3281"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0063037000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001705293",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "080015200",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502300900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590012694",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.