Upper Laurel Fire & Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

-001 Issued in WV

Legal business name

UPPER LAUREL FIRE & AMBULANCE, INC.

Practice address

Poplar Gap Road
Sabine, WV 25916

Phone

(304) 294-4400

Fax

(304) 294-4402

NPI assigned

May 30, 2006

Last updated

Jul 21, 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

Mr. Darren Wayne Stapleton, EMT

Title

Director/Chief

Phone

(304) 294-4400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134176514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "JESSE",
            "state": "WV",
            "postal_code": "248490059",
            "telephone_number": "304-294-4400",
            "fax_number": "304-294-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POPLAR GAP ROAD",
            "city": "SABINE",
            "state": "WV",
            "postal_code": "25916",
            "telephone_number": "304-294-4400",
            "fax_number": "304-294-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER LAUREL FIRE & AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR/CHIEF",
        "authorized_official_telephone_number": "304-294-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.