NPIMap

Organization Active NPI

Powellville Volunteer Fire Company Inc

  • Ambulance
  • Pittsville, MD
National Provider Identifier
1821031691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
NONE
Legal business name
POWELLVILLE VOLUNTEER FIRE COMPANY INC
Practice address
5085 Powellville Rd
Pittsville, MD 21850-2120
Phone
(410) 479-4790
Fax
(410) 479-4793
NPI assigned
Jun 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles M Ward III
Title
Ambulance CPT
Phone
(410) 479-4790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NONE Primary

Addresses

Primary practice location

5085 Powellville Rd
Pittsville, MD 21850-2120

Mailing address

PO Box 552
Denton, MD 21629-0552
Phone (410) 479-4790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070120000069 MD Part B Supplier - Ambulance Service Supplier 1456352392 Practice locations: Pittsville, MD

National Provider Directory

National Provider Directory

Locations

5085 Powellville Rd
Pittsville, MD 21850
Phone (410) 835-8181

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821031691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290552",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 POWELLVILLE RD",
            "city": "PITTSVILLE",
            "state": "MD",
            "postal_code": "218502120",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELLVILLE VOLUNTEER FIRE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AMBULANCE CPT",
        "authorized_official_telephone_number": "410-479-4790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.