Fountain Volunteer Fire Company, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

WVEMS Issued in WV

Legal business name

FOUNTAIN VOLUNTEER FIRE COMPANY, INC

Practice address

10707 Knobley Road
Keyser, WV 26726-9998

Phone

(304) 788-4071

Fax

(304) 521-1576

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Jeffrey Myers

Title

Asst Chief

Phone

(304) 788-4071

Specialties & licenses 2

Addresses

Other identifiers 4

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1942486766",
    "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": "10707 KNOBLEY ROAD",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269998",
            "telephone_number": "304-788-4071",
            "fax_number": "304-521-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VOLUNTEER FIRE COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ASST CHIEF",
        "authorized_official_telephone_number": "304-788-4071"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "62952",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "002032962",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "002032962",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00477560",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011664",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Stephen Fiddes
• Vivian Florence Fields
• Sonra Ann Foote
• Fort Ashby Business Associates, Inc
• Sarah Foss
• Geraldine A Fox, LCSW-C (MD) LICSW (W
• Krisandra Nicole Fracasso
• Heather Franklin
• Karen Friend
• Samuel Joseph David Allen Frisco

• Ambulance in Keyser, WV
• Providers in Keyser, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.