West Liberty Volunteer Fire Department Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

WEST LIBERTY VOLUNTEER FIRE DEPARTMENT INC

Doing business as

West Liberty Vol Fire Dept Inc

Practice address

1333 Van Meter Way
West Liberty, WV 26074

Phone

(304) 336-7500

Fax

(304) 521-1576

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Edward Wolf

Title

EMS Treasurer/Assistant Fire Chief

Phone

(304) 336-7500

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• West Liberty Vol Fire Dept Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1730286170",
    "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": "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": "1333 VAN METER WAY",
            "city": "WEST LIBERTY",
            "state": "WV",
            "postal_code": "26074",
            "telephone_number": "304-336-7500",
            "fax_number": "304-521-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LIBERTY VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EMS TREASURER/ASSISTANT FIRE CHIEF",
        "authorized_official_telephone_number": "304-336-7500"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145013000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER",
            "identifier": "N6024159",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141779",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001705613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Liberty Vol Fire Dept Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Pavlic
• Breanna Lynn Qualley
• Kaitlyn R Smith, PA-C
• Jordon Thomas
• Corinne Vincent
• Abigail Wilcock
• Olivia Wills

• Ambulance in West Liberty, WV
• Providers in West Liberty, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.