Organization Active NPI

Roane County Emergency Squad Inc

  • Land Ambulance
  • Spencer, WV
National Provider Identifier
1093860256
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0145739000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120106000465 WV Part B Supplier - Ambulance Service Supplier 2062688476 Practice locations: Spencer, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0908973Roane County Emergency Squad200 East Main Street, Spencer, WV 25276Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.