New Creek Volunteer Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

62953 Issued in WV

Legal business name

NEW CREEK VOLUNTEER FIRE DEPARTMENT

Practice address

State Route 972
New Creek, WV 26742

Phone

(304) 788-4041

Fax

(304) 788-4041

NPI assigned

Jul 12, 2007

Last updated

Oct 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Biggs

Title

Asst. Fire Chief

Phone

(304) 788-4041

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1770782518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "267430010",
            "telephone_number": "304-788-4041",
            "fax_number": "304-788-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROUTE 972",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "26742",
            "telephone_number": "304-788-4041",
            "fax_number": "304-788-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CREEK VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "BIGGS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ASST. FIRE CHIEF",
        "authorized_official_telephone_number": "304-788-4041"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "62953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE BCBS",
            "identifier": "001995687",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "1074759",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00442956",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010549",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Destiny D Parker
• Loretta Reel
• Belinda Sue Sites
• Jonathan Patrick Stewart

• Ambulance in New Creek, WV
• Providers in New Creek, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.