Active NPI
Brooke County Ambulance
- Land Ambulance
- Follansbee, WV
National Provider Identifier
1083605356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BROOKE COUNTY AMBULANCE
- Practice address
- 1061 Main St
Follansbee, WV 26037-1344 - Phone
- (304) 527-3701
- Fax
- (304) 737-5121
- NPI assigned
- Nov 4, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John William Schwertfeger
- Title
- Director
- Phone
- (304) 737-1784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
1061 Main St
Follansbee, WV 26037-1344
Mailing address
PO Box 268
Wellsburg, WV 26070-0268
Phone (304) 737-1784
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145167000 | Medicaid | WV | |
| AMB302 | Other | OH | UPPER OHIO VALLEY HP |
| 0293696 | Other | OH | OHIO MEDICAID PROVIDER |
| 44172 | Other | WV | CARELINK |
National Provider Directory
National Provider Directory- Tax ID family
- Brooke County Commission
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Brooke County Ambulance Service
- Land Ambulance
- Wellsburg, WV
- NPI 1336151315
Locations
1061 Main St
Follansbee, WV 26037
Phone (304) 527-3701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083605356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268",
"city": "WELLSBURG",
"state": "WV",
"postal_code": "260700268",
"telephone_number": "304-737-1784",
"fax_number": "304-737-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 MAIN ST",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260371344",
"telephone_number": "304-527-3701",
"fax_number": "304-737-5121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKE COUNTY AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHWERTFEGER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "304-737-1784",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145167000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPPER OHIO VALLEY HP",
"identifier": "AMB302",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID PROVIDER",
"identifier": "0293696",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "44172",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Follansbee, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.