Shady Grove Volunteer Fire and Rescue Department Inc
NPI 1700886504 · Land Ambulance · Thaxton, VA
Enrolled with Medicare as Part B Supplier - Ambulance Service Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Grove Volunteer Fire and Rescue Department Inc is a Land Ambulance organization in Thaxton, VA (NPI 1700886504).
Provider details
- NPI number
- 1700886504
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Don Wray, Chief(540) 890-7484
- License
- 1002 (VA)
Specialties & taxonomies
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-22
- Last updated
- 2012-12-10
Frequently asked questions
- What is Shady Grove Volunteer Fire and Rescue Department Inc's NPI number?
- Shady Grove Volunteer Fire and Rescue Department Inc's National Provider Identifier (NPI) is 1700886504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Volunteer Fire and Rescue Department Inc?
- Shady Grove Volunteer Fire and Rescue Department Inc is classified in the NPPES registry as Land Ambulance (Transportation Services).
- Where is Shady Grove Volunteer Fire and Rescue Department Inc located?
- Shady Grove Volunteer Fire and Rescue Department Inc's practice location on file with NPPES is 101 Shady Grove Dr, Thaxton, VA 24174-2902.
- What is Shady Grove Volunteer Fire and Rescue Department Inc's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Volunteer Fire and Rescue Department Inc is (540) 890-7484.
- Does Shady Grove Volunteer Fire and Rescue Department Inc accept Medicare?
- Shady Grove Volunteer Fire and Rescue Department Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shady Grove Volunteer Fire and Rescue Department Inc?
- The authorized official listed on Shady Grove Volunteer Fire and Rescue Department Inc's NPPES record is Don Wray, Chief. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Volunteer Fire and Rescue Department Inc's NPI active?
- Yes — Shady Grove Volunteer Fire and Rescue Department Inc's NPI (1700886504) is active in the NPPES registry as of the last update on 2012-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.