Organization Active NPI

Dryden Fire and Rescue

  • Land Ambulance
  • Dryden, VA
National Provider Identifier
1821538802
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DRYDEN FIRE AND RESCUE
Practice address
961 Dryden LP.
Dryden, VA 24243-0206
Phone
(276) 275-4209
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Mr. Josh Flanary
Title
Chief
Phone
(276) 275-4209

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X VA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

961 Dryden LP.
Dryden, VA 24243-0206

Mailing address

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

Other names 1

  • Dryden Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200605000053 VA Part B Supplier - Ambulance Service Supplier 3678994381 Practice locations: Dryden, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1821538802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 DRYDEN LP.",
            "city": "DRYDEN",
            "state": "VA",
            "postal_code": "242430206",
            "telephone_number": "276-275-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRYDEN FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "FLANARY",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "276-275-4209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dryden Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dryden, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.