Organization Active NPI

McMechen Volunteer Fire Department Inc

  • Ambulance
  • McMechen, WV
National Provider Identifier
1780680918
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
WV EMS Issued in WV
Legal business name
MCMECHEN VOLUNTEER FIRE DEPARTMENT INC
Practice address
811 Marshall Street
McMechen, WV 26040-1046
Phone
(304) 232-4560
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Crystal Lynn Grubb
Title
Emt/Squad Captain
Phone
(304) 312-8565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WV EMS WV Primary

Addresses

Primary practice location

811 Marshall Street
McMechen, WV 26040-1046

Mailing address

PO Box 129
Buckhannon, WV 26201-0129
Phone (304) 473-8988

Other identifiers 3

IdentifierTypeStateIssuer
0144969000MedicaidWV
2560116MedicaidOH
001705610OtherWVBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000495 WV Part B Supplier - Ambulance Service Supplier 0547326225 Practice locations: McMechen, WV

National Provider Directory

National Provider Directory

Locations

811 Marshall St
McMechen, WV 26040
Phone (304) 232-4560

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1780680918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262010129",
            "telephone_number": "304-473-8988",
            "fax_number": "304-473-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MARSHALL STREET",
            "city": "MCMECHEN",
            "state": "WV",
            "postal_code": "260401046",
            "telephone_number": "304-232-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMECHEN VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EMT/SQUAD CAPTAIN",
        "authorized_official_telephone_number": "304-312-8565"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WV EMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144969000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2560116",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001705610",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMechen, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.