Active NPI
Burlington Vol Fire Dept Inc
- Ambulance
- Burlington, WV
National Provider Identifier
1992703896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- N/A
- Legal business name
- BURLINGTON VOL FIRE DEPT INC
- Practice address
- RT. 50 East
Burlington, WV 26710 - Phone
- (304) 289-3032
- NPI assigned
- Jul 13, 2005
- 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
- Robert A Haggerty
- Title
- Chief
- Phone
- (304) 289-3032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | N/A | WV | Primary |
Addresses
Primary practice location
RT. 50 East
Burlington, WV 26710
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (800) 676-4785
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590012972 | Other | WV | RAILROAD MEDICARE |
| 001705612 | Other | WV | BLUE CROSS |
| 0054010000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000201 | WV | Part B Supplier - Ambulance Service Supplier | 3577610625 | Practice locations: Burlington, WV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476662400000",
"number": "1992703896",
"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": "800-676-4785",
"fax_number": "304-522-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT. 50 EAST",
"city": "BURLINGTON",
"state": "WV",
"postal_code": "26710",
"telephone_number": "304-289-3032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURLINGTON VOL FIRE DEPT INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2016-10-17",
"status": "A",
"authorized_official_last_name": "HAGGERTY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "304-289-3032"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WV",
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590012972",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001705612",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0054010000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.