SHORT GAP VOLUNTEER FIRE COMPANY NPI 1881693166

NPI Information

NPI: 1881693166
Provider Name: SHORT GAP VOLUNTEER FIRE COMPANY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 51D0988633

Address:
128 KNOBLEY ROAD
RIDGELEY, WV
ZIP 26753
Phone: (304) 726-4388
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SHORT GAP VOLUNTEER FIRE COMPANY is a land transport ambulance in Ridgeley, WV. SHORT GAP VOLUNTEER FIRE COMPANY NPI is 1881693166. The provider is registered as an organization entity type.

The provider's business location address is:

128 KNOBLEY ROAD
RIDGELEY, WV
ZIP 26753
Phone: (304) 726-4388
Fax: (304) 726-4521

The provider's authorized official is Lauren Trenter .
The authorized official title is Medical Chief and has the following contact phone number (304) 726-4388.

The CLIA number assigned to this NPI record is 51D0988633 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 5/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport		WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========00	OTHER	WEST VIRGINIA	WV WORKERS COMP
2	323321	OTHER	VIRGINIA	BLUE CROSS
3	590014173	OTHER	WEST VIRGINIA	RAILROAD MEDICARE
4	409664900	MEDICAID	MARYLAND
5	8005010000	MEDICAID	WEST VIRGINIA
6	001705368	OTHER	WEST VIRGINIA	BLUE CROSS
7	=========	OTHER	WEST VIRGINIA	TRICARE
8	9311351	MEDICARE PIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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