Active NPI
The Community Fire Company Incorporated
- Ambulance
- Exmore, VA
National Provider Identifier
1730120924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 348
- Legal business name
- THE COMMUNITY FIRE COMPANY INCORPORATED
- Practice address
- 3356 Main St
Exmore, VA 23350-0706 - Phone
- (757) 442-7813
- NPI assigned
- Jun 9, 2006
- 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
- Pamela Lewis
- Title
- Secretary
- Phone
- (757) 442-7813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 348 | VA | Primary |
Addresses
Primary practice location
3356 Main St
Exmore, VA 23350-0706
Mailing address
PO Box 706
Exmore, VA 23350-0706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009012753 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100416000141 | VA | Part B Supplier - Ambulance Service Supplier | 9335276757 | Practice locations: Exmore, VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266278400000",
"number": "1730120924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 706",
"city": "EXMORE",
"state": "VA",
"postal_code": "233500706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 MAIN ST",
"city": "EXMORE",
"state": "VA",
"postal_code": "233500706",
"telephone_number": "757-442-7813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE COMMUNITY FIRE COMPANY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2010-02-16",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "757-442-7813"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009012753",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exmore, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.