Terra Alta Community Amulance Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TERRA ALTA COMMUNITY AMULANCE SQUAD

Practice address

1124 E State Ave
Terra Alta, WV 26764-1465

Phone

(304) 473-8988

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Marilyn Metheny

Title

Vice President

Phone

(304) 473-8988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144349358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262010129",
            "telephone_number": "304-473-8988",
            "fax_number": "304-472-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E STATE AVE",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267641465",
            "telephone_number": "304-473-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA ALTA COMMUNITY AMULANCE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METHENY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-473-8988"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Stump
• Summit Health Care, Inc
• Sammy Syruws
• Shelby Rose Tasker
• Terra Alta Community Ambulance
• Odette Bridget Teter
• Mary Ann Whitehair, CRNP
• WV Dept. of Health & Health Facilities (Hopemont Hospital)

• Land Ambulance in Terra Alta, WV
• Providers in Terra Alta, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.