Active NPI
Cedar Grove Vol Fire Dept Inc
- Land Ambulance
- Cedar Grove, WV
National Provider Identifier
1962569376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CEDAR GROVE VOL FIRE DEPT INC
- Practice address
- 306 East George St
Cedar Grove, WV 25039 - Phone
- (304) 595-2244
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clayton Young
- Title
- EMS Director
- Phone
- (304) 545-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
306 East George St
Cedar Grove, WV 25039
Mailing address
306 East George St
Cedar Grove, WV 25039
Phone (304) 595-2244
Other practice location 1
262 Williams Street
Cedar Grove, WV 25039
Phone (304) 595-2244
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | WV | ACORDIA NATIONAL-PEIA |
| 001705367 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0145248000 | Medicaid | WV | |
| 08092880 | Other | WV | BLACK LUNG |
| ========= | Other | WV | AETNA |
Other names 1
- Cedar Grove Ambulance
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1962569376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 EAST GEORGE ST",
"city": "CEDAR GROVE",
"state": "WV",
"postal_code": "25039",
"telephone_number": "304-595-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 EAST GEORGE ST",
"city": "CEDAR GROVE",
"state": "WV",
"postal_code": "25039",
"telephone_number": "304-595-2244"
}
],
"practiceLocations": [
{
"address_1": "262 Williams Street",
"address_purpose": "LOCATION",
"city": "Cedar Grove",
"state": "WV",
"postal_code": "25039",
"country_code": "US",
"telephone_number": "304-595-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CEDAR GROVE VOL FIRE DEPT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2023-03-01",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "CLAYTON",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "304-545-5001"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACORDIA NATIONAL-PEIA",
"identifier": "=========",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001705367",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145248000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "08092880",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "=========",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Grove Ambulance",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Cedar Grove Ambulance",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cedar Grove, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.