Waynesburg Area Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1351 Issued in KY

Legal business name

WAYNESBURG AREA RESCUE SQUAD

Practice address

16030 Ky Highway 1247
Waynesburg, KY 40489-9704

Phone

(606) 305-6339

Fax

(606) 379-5497

NPI assigned

Jul 22, 2005

Last updated

Apr 20, 2008By 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

Denver Rose

Title

Chief

Phone

(606) 305-6339

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1164422978",
    "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": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 KY HIGHWAY 1247",
            "city": "WAYNESBURG",
            "state": "KY",
            "postal_code": "404899704",
            "telephone_number": "606-305-6339",
            "fax_number": "606-379-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBURG AREA RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DENVER",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "606-305-6339"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000070055",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1188747",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50007834",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56005713",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55069017",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln County Health Department (Highland Elementary School Health Office)
• Lincoln County Health Department (School Health Office Waynesburg Elementary School)
• Lora Danielle Richardson
• Tracy Lynn Singleton, O.T.
• Brittany Turpin, PHARMD
• Waynesburg Clinic
• Waynesburg Clinic, PLLC

• Land Ambulance in Waynesburg, KY
• Providers in Waynesburg, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.