Active NPI
Romney Rescue Squad Inc
- Ambulance
- Romney, WV
National Provider Identifier
1124242649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- WVEMS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145877000 | Medicaid | WV | |
| 1043179 | Other | WV | WV WORKERS COMP |
| 001705551 | Other | WV | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080206000247 | WV | Part B Supplier - Ambulance Service Supplier | 1557444114 | Practice locations: Romney, WV |
National Provider Directory
National Provider DirectoryNPI 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.