Organization Active NPI

Romney Rescue Squad Inc

  • Ambulance
  • Romney, WV
National Provider Identifier
1124242649
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
WVEMS Issued in WV
Legal business name
ROMNEY RESCUE SQUAD INC
Practice address
549 1/2 Center Avenue
Romney, WV 26757-1308
Phone
(304) 822-4019
Fax
(304) 521-1578
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donnie Keith Smith
Title
Chief
Phone
(304) 822-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WVEMS WV Primary

Addresses

Primary practice location

549 1/2 Center Avenue
Romney, WV 26757-1308

Mailing address

836 4TH Avenue
Huntington, WV 25701-1704
Phone (304) 521-1576

Other identifiers 3

IdentifierTypeStateIssuer
0145877000MedicaidWV
1043179OtherWVWV WORKERS COMP
001705551OtherWVBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080206000247 WV Part B Supplier - Ambulance Service Supplier 1557444114 Practice locations: Romney, WV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1124242649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVENUE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011704",
            "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": "549 1/2 CENTER AVENUE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571308",
            "telephone_number": "304-822-4019",
            "fax_number": "304-521-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMNEY RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-822-4019"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145877000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "1043179",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001705551",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romney, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.