Tyler County EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TYLER COUNTY EMS

Practice address

242 Oxford St
Sistersville, WV 26175-1029

Phone

(304) 652-2830

Fax

(304) 521-1576

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jimmy Logsan Sailor

Title

Director

Phone

(304) 652-2830

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1053190165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 OXFORD ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751029",
            "telephone_number": "304-652-2830",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 OXFORD ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751029",
            "telephone_number": "304-652-2830",
            "fax_number": "304-521-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "SAILOR",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "LOGSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-652-2830"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Stoops, NP
• Bryan Jason Suter
• Tara Templeton
• Tyler County Board of Education
• Tyler County Board of Education
• Bridgette Uhler
• Marah Utt, PT, DPT, ATC
• David Willey
• Brenda Workman
• Leslie Leann Worzalla

• Ambulance in Sistersville, WV
• Providers in Sistersville, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.