Mount Hermon Volunteer Fire & Rescue Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MOUNT HERMON VOLUNTEER FIRE & RESCUE INC.

Doing business as

Mount Hermon Volunteer Fire Department

Practice address

4268 Franklin Tpke
Danville, VA 24540-5246

Phone

(434) 836-1869

Fax

(270) 744-8642

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Tobias Addis

Title

Captain

Phone

(434) 710-0588

Specialties & licenses 2

Addresses

Other names 1

• Mount Hermon Volunteer Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1851608871",
    "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": "4268 FRANKLIN TPKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405246",
            "telephone_number": "434-836-1869",
            "fax_number": "270-744-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT HERMON VOLUNTEER FIRE & RESCUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ADDIS",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "434-710-0588"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "653",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Hermon Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Danville, VA
• Providers in Danville, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.