Organization Active NPI

Onancock Volunteer Fire Department, Incorporated

  • Land Ambulance
  • Onancock, VA
National Provider Identifier
1750540639
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ONANCOCK VOLUNTEER FIRE DEPARTMENT, INCORPORATED
Practice address
9 Pine St
Onancock, VA 23417-1521
Phone
(757) 787-7778
NPI assigned
Jun 5, 2008
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Benjamin C Bonniwell
Title
EMS Captain
Phone
(757) 787-7778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 350 VA
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

9 Pine St
Onancock, VA 23417-1521

Mailing address

PO Box 25
Onancock, VA 23417-0025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000477 VA Part B Supplier - Ambulance Service Supplier 0941375273 Practice locations: Onancock, VA

National Provider Directory

National Provider Directory

Locations

9 Pine St
Onancock, VA 23417
Phone (757) 710-2153

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1750540639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234170025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PINE ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171521",
            "telephone_number": "757-787-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONANCOCK VOLUNTEER FIRE DEPARTMENT, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "BONNIWELL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "757-787-7778"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "350",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onancock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.