Active NPI
Dallas VFD Inc
- Land Ambulance
- Dallas, WV
National Provider Identifier
1972609592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DALLAS VFD INC
- Practice address
- 7024 Dallas Pike
Dallas, WV 26036 - Phone
- (304) 547-4999
- NPI assigned
- Sep 15, 2006
- 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
- Phillip Scott Ullom
- Title
- EMS Chief
- Phone
- (304) 547-4999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | WV | ||
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
7024 Dallas Pike
Dallas, WV 26036
Mailing address
836 4TH Avenue
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001704937 | Other | HIGHMARK BCBS | |
| 0144989000 | Medicaid | WV | |
| 9262261A | Other | HEALTH PLAN OF UPPER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120125000511 | WV | Part B Supplier - Ambulance Service Supplier | 4486821816 | Practice locations: Dallas, WV |
National Provider Directory
National Provider DirectoryLocations
7024 Dallas Pike
Dallas, WV 26036
Phone (304) 547-4999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1972609592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 4TH AVENUE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011407",
"telephone_number": "304-521-1576",
"fax_number": "304-521-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7024 DALLAS PIKE",
"city": "DALLAS",
"state": "WV",
"postal_code": "26036",
"telephone_number": "304-547-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS VFD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2024-06-17",
"status": "A",
"authorized_official_last_name": "ULLOM",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "304-547-4999"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "001704937",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0144989000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF UPPER",
"identifier": "9262261A",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.