Stafford EMS
Organization Active NPI Land Ambulance · Gilbert, WV
NPI 1063501153 · NPPES record last updated Sep 22, 2008
Key facts
- NPI
- 1063501153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 045225 (WV)
- Legal business name
- STAFFORD EMS
- Practice address
- 4071 Venus St
Gilbert, WV 25621-1098 - Phone
- (304) 664-2330
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Kendell A Simpson
- Title
- Owner
- Phone
- (304) 664-2330
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 045225 | WV | Yes |
Addresses
Primary practice location
4071 Venus St
Gilbert, WV 25621-1098
Mailing address
PO Box 1098
Gilbert, WV 25621-1098
Phone (304) 664-2330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0144793000 | Medicaid | WV |
Other providers in Gilbert, WV
- Riverside Pharmacy Inc
- Amelia J. Santiago
- George Smith
- Hailey Smith
- Tina Smith
- Joshua Stafford
- Strong Through Our Plan
- Andrea Lynn Trent
- Kendan Glen Trent
- Kendra Misha' Trent
All providers in Gilbert, WV · Land Ambulance in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.