Wetzel County Emergency Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WETZEL COUNTY EMERGENCY AMBULANCE

Practice address

20 Emergency Service LN
New Martinsville, WV 26155-1152

Phone

(304) 455-5931

Fax

(304) 455-2824

NPI assigned

Jul 22, 2005

Last updated

Dec 12, 2022By 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 Colvin

Title

President

Phone

(304) 455-5931

Specialties & licenses 1

Addresses

Other identifiers 7

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

Tax ID family

Wetzel County Emergency Ambulance4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Wetzel County Emergency Ambulance

  • Ambulance
  • Hundred, WV
  • NPI 1639378581
  NPD tax ID
• Wetzel County Emergency Ambulance

  • Ambulance
  • Pine Grove, WV
  • NPI 1720287675
  NPD tax ID
• Wetzel County Emergency Ambulance

  • Ambulance
  • Proctor, WV
  • NPI 1811196769
  NPD tax ID

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1093715872",
    "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": "20 EMERGENCY SERVICE LN",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551152",
            "telephone_number": "304-455-5931",
            "fax_number": "304-455-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETZEL COUNTY EMERGENCY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-455-5931"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "081132300",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012567",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145310001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093715872",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000204272",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596814",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419401200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Susanne West
• Wetzel County Board of Education
• Wetzel County Board of Education
• Wetzel County Coa
• Wetzel County Coa
• Wetzel County Homecare
• Wetzel County Homecare, LLC (Wetzel County HomeCare)
• Wetzel County Hospital (Wetzel County Homecare)
• Wetzel County Hospital (Wetzel County Hospital Home Infusion Services)
• Wetzel County Hospital

• Land Ambulance in New Martinsville, WV
• Providers in New Martinsville, 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 Dec 12, 2022; 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.