Active NPI
Teays Valley Volunteer Fire Department Inc
- Ambulance
- Scott Depot, WV
National Provider Identifier
1730427469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140425000231 | WV | Part B Supplier - Ambulance Service Supplier | 8628201738 | Practice locations: Scott Depot, WV |
National Provider Directory
National Provider DirectoryLocations
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.