Short Gap Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SHORT GAP VOLUNTEER FIRE COMPANY

Practice address

128 Knobley Road
Ridgeley, WV 26753

Phone

(304) 726-4388

Fax

(304) 726-4521

NPI assigned

Jul 19, 2005

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Trenter

Title

Medical Chief

Phone

(304) 726-4388

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1881693166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 KNOBLEY ROAD",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "26753",
            "telephone_number": "304-726-4388",
            "fax_number": "304-726-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT GAP VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "TRENTER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MEDICAL CHIEF",
        "authorized_official_telephone_number": "304-726-4388"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "323321",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409664900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014173",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001705368",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8005010000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Schultz
• Jessica Schultz
• Jennifer Rebecca Sell
• Robert H Sell Jr.
• Wendi Sue Shillingburg, PA-C
• Michelle Simmons
• Kelsey Mae Smith
• Kevin Lee Smith
• Aaron Snyder, M.D.
• Destiny Love Sponaugle

• Land Ambulance in Ridgeley, WV
• Providers in Ridgeley, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.