=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215925607
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE CHILHOWIE FIRE DEPARTMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2005
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 315 E LEE HIGHWAY
-----------------------------------------------------
City | CHILHOWIE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24319-5012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-646-3131
-----------------------------------------------------
Fax | 276-646-3615
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 5012
-----------------------------------------------------
City | CHILHOWIE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24319-5012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-646-3131
-----------------------------------------------------
Fax | 346-646-3012
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF
-----------------------------------------------------
Name | C. DAVID HAYNES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 276-646-3131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 979
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------