Capon Springs Fire Dept, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

WVEMS Issued in WV

Legal business name

CAPON SPRINGS FIRE DEPT, INC

Doing business as

Capon Springs Volunteer Fire & Rescue Co

Practice address

3144 Capon Springs Rd
Capon Springs, WV 26823-9998

Phone

(304) 874-4337

Fax

(304) 874-4140

NPI assigned

Apr 13, 2007

Last updated

Dec 18, 2023By 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

Gerald Brill

Title

Fire Chief

Phone

(304) 874-4337

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Capon Springs Volunteer Fire & Rescue Co Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1942424460",
    "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": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 CAPON SPRINGS RD",
            "city": "CAPON SPRINGS",
            "state": "WV",
            "postal_code": "268239998",
            "telephone_number": "304-874-4337",
            "fax_number": "304-874-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPON SPRINGS FIRE DEPT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "304-874-4337"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014012",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8001019000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001397440",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capon Springs Volunteer Fire & Rescue Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.