Organization Active NPI

Falling Spring Rescue Squad Incorporated

  • Land Ambulance
  • Covington, VA
National Provider Identifier
1962849620
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
VA EMS Issued in VT
Legal business name
FALLING SPRING RESCUE SQUAD INCORPORATED
Practice address
303 Friels Dr
Covington, VA 24426-5808
Phone
(540) 962-3616
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Mark Reynolds
Title
Chief
Phone
(540) 962-3616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X VA EMS VT Primary

Addresses

Primary practice location

303 Friels Dr
Covington, VA 24426-5808

Mailing address

836 4TH Ave
Huntington, WV 25701-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131029001042 VA Part B Supplier - Ambulance Service Supplier 3375778376 Practice locations: Covington, VA

National Provider Directory

National Provider Directory

Locations

303 Friels Dr
Covington, VA 24426
Phone (540) 962-3616

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1962849620",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FRIELS DR",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244265808",
            "telephone_number": "540-962-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLING SPRING RESCUE SQUAD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "540-962-3616"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "VA EMS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.