Organization Active NPI

General Ambulance Wood, Inc

  • Land Ambulance
  • Oak Hill, WV
National Provider Identifier
1063443554
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GENERAL AMBULANCE WOOD, INC
Practice address
RR 1 Box 218
Oak Hill, WV 25901-9596
Phone
(304) 465-8995
Fax
(304) 465-1039
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kimberly B Light
Title
Billing Director
Phone
(304) 465-8995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV Primary

Addresses

Primary practice location

RR 1 Box 218
Oak Hill, WV 25901-9596

Mailing address

RR 1 Box 218
Oak Hill, WV 25901-9596
Phone (304) 465-8995

Other identifiers 4

IdentifierTypeStateIssuer
0145288003MedicaidWV
9030010000MedicaidWV
2637123MedicaidWV
NON-PAROtherWVANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063443554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 218",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259019596",
            "telephone_number": "304-465-8995",
            "fax_number": "304-465-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 218",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259019596",
            "telephone_number": "304-465-8995",
            "fax_number": "304-465-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL AMBULANCE WOOD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "304-465-8995"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145288003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030010000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637123",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "NON-PAR",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.