Appalachia Volunteer Fire Department

Organization Active NPI Land Ambulance · Appalachia, VA

NPI 1801216239 · NPPES record last updated Nov 18, 2020

Key facts

NPI
1801216239
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
Legal business name
APPALACHIA VOLUNTEER FIRE DEPARTMENT
Practice address
104 Powell St
Appalachia, VA 24216-1816
Phone
(276) 565-0732
Fax
(276) 565-0733
NPI assigned
Apr 24, 2014
Organization subpart
No

Authorized official

Name
Travis Aaron Anderson
Title
Chief
Phone
(321) 432-5537

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140812002202 VA Part B Supplier - Ambulance Service Supplier 7810114022 Practice locations: Appalachia, VA

National Provider Directory

Locations

104 Powell St
Appalachia, VA 24216
Phone (276) 565-0732

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Yes

Addresses

Primary practice location

104 Powell St
Appalachia, VA 24216-1816

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other providers in Appalachia, VA

All providers in Appalachia, VA · Land Ambulance in Virginia

Sources for this page

Verify at the official NPI Registry.