Parksley Volunteer Fire Co. Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

353 Issued in VA

Legal business name

PARKSLEY VOLUNTEER FIRE CO. INC.

Practice address

18431 Dunne Ave
Parksley, VA 23421-0014

Phone

(757) 665-6977

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Fred Matthews

Title

President

Phone

(757) 665-6977

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1821038530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "234210014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18431 DUNNE AVE",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "234210014",
            "telephone_number": "757-665-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSLEY VOLUNTEER FIRE CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-665-6977"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "076718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "16301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009013016",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR CARE",
            "identifier": "590013020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas McClean-Rice, MD
• Ellen S Miles, LPC
• Tiffany Nightengale, DMD
• Obstetrics and Gyneocology Associates of the Eastern Shore, Inc.
• Sharon Parker
• Amy Nicole Porter, RN CWS
• Virginia Ravizza, LPC
• Dayl Reid-Roberts, LPD
• Riverside Physician Services Inc
• Charis Louise Robinette

• Ambulance in Parksley, VA
• Providers in Parksley, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.