MJS Enterprises Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MJS ENTERPRISES INC

Doing business as

st josephs ambulance service

Practice address

1619 Saint Marys Ave
Parkersburg, WV 26101-3346

Phone

(304) 424-4670

NPI assigned

Jul 19, 2005

Last updated

Mar 8, 2016By 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

Dwane Weekley

Title

Chief

Phone

(304) 424-4670

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• st josephs ambulance service Doing business as

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1073512414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 SAINT MARYS AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013346",
            "telephone_number": "304-424-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "WEEKLEY",
        "authorized_official_first_name": "DWANE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-424-4670"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55001333",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2439721",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8003072000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL DEPT OF LABOR",
            "identifier": "612941100",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001705619",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080051800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00046067",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "st josephs ambulance service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Mitchell
• David Mitchell
• Delaney Lee Mitchell
• Mandie Kae Mitchell
• Shelly Mize
• Megan Leeann Moats, CARE COORDINATOR
• Roy Allen Moats Jr.
• Destany Modesitt
• Shane Modesitt
• Hemant Modi

• Land Ambulance in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.