Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shady Grove Volunteer Fire and Rescue Department Inc

Organization Land Ambulance · NPI 1700886504

Shady Grove Volunteer Fire and Rescue Department Inc is a Land Ambulance in Thaxton, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Shady Grove Dr
Thaxton, VA 24174-2902
Phone: (540) 890-7484
Fax: (540) 890-2290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Land Ambulance (primary) Taxonomy 3416L0300X · Licence 1002 (VA)

Record details

NPI number1700886504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Don Wray — Chief · (540) 890-7484
NPI enumeratedJuly 22, 2005
Last updated in NPPESDecember 10, 2012
Mailing address836 4th Ave, Huntington, WV 25701-1407