Active NPI
Roane County Emergency Squad Inc
- Land Ambulance
- Spencer, WV
National Provider Identifier
1093860256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ROANE COUNTY EMERGENCY SQUAD INC
- Practice address
- 200 East Main Street
Spencer, WV 25276-1602 - Phone
- (304) 927-3725
- NPI assigned
- Jan 25, 2007
- Last updated
- Mar 17, 2025
- 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
- Makiah A Ratliff
- Title
- EMS Director
- Phone
- (304) 927-3725
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NO NUMBER | WV | |
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
200 East Main Street
Spencer, WV 25276-1602
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145739000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120106000465 | WV | Part B Supplier - Ambulance Service Supplier | 2062688476 | Practice locations: Spencer, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0908973 | Roane County Emergency Squad | Certificate of waiver | Feb 7, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1093860256",
"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": "304-521-1576",
"fax_number": "304-521-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EAST MAIN STREET",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761602",
"telephone_number": "304-927-3725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROANE COUNTY EMERGENCY SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2025-03-17",
"status": "A",
"authorized_official_last_name": "RATLIFF",
"authorized_official_first_name": "MAKIAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "304-927-3725"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": "NO NUMBER",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145739000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, WV
- Roane County Board of Education
- Roane County Board of Education
- Roane County Committee on Aging
- Roane County Committee on Aging, Inc.
- Roane County Committee on Aging, Inc.
- Roane County Family Health Care
- Roane County Family Health Care, Inc.
- Roane County Family Health Care, Inc.
- Roane Homecare, LLC (Roane HomeCare)
- Katelynn Taylor Robertson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.