Organization Active NPI

Teays Valley Volunteer Fire Department Inc

  • Ambulance
  • Scott Depot, WV
National Provider Identifier
1730427469
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TEAYS VALLEY VOLUNTEER FIRE DEPARTMENT INC
Practice address
105 Popular Fork Rd
Scott Depot, WV 25560-9998
Phone
(304) 757-7075
Fax
(304) 757-7717
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Cody Smoot
Title
Fire Chief
Phone
(304) 389-8169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WV Primary

Addresses

Primary practice location

105 Popular Fork Rd
Scott Depot, WV 25560-9998

Mailing address

836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140425000231 WV Part B Supplier - Ambulance Service Supplier 8628201738 Practice locations: Scott Depot, WV

National Provider Directory

National Provider Directory

Locations

62 Scott Depot Rd
Scott Depot, WV 25560
Phone (304) 757-7075

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1730427469",
    "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": "105 POPULAR FORK RD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609998",
            "telephone_number": "304-757-7075",
            "fax_number": "304-757-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAYS VALLEY VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "304-389-8169"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.