Active NPI
Quinwood Emergency Ambulance Inc
- Ambulance
- Quinwood, WV
National Provider Identifier
1164459566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 31344
- Legal business name
- QUINWOOD EMERGENCY AMBULANCE INC
- Practice address
- 111 McClung St
Quinwood, WV 25981-0253 - Phone
- (304) 438-9252
- Fax
- (304) 438-7148
- NPI assigned
- Jun 28, 2006
- Last updated
- Feb 21, 2011
- 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
- Mrs. Serena J Davis
- Title
- PT Accounts
- Phone
- (304) 438-9252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 31344 | WV | Primary |
Addresses
Primary practice location
111 McClung St
Quinwood, WV 25981-0253
Mailing address
PO Box 253
111 McClung St
Quinwood, WV 25981-0253
Phone (304) 438-9252
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145769000 | Medicaid | WV | |
| 086795400 | Other | WV | DEPT OF LABOR |
| 407590215 | Other | WV | RAILROAD MEDICARE |
| 1141627 | Other | WV | UMWA |
| 001704988 | Other | WV | MT ST BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298246400000",
"number": "1164459566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 253",
"address_2": "111 MCCLUNG ST",
"city": "QUINWOOD",
"state": "WV",
"postal_code": "259810253",
"telephone_number": "304-438-9252",
"fax_number": "304-438-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MCCLUNG ST",
"city": "QUINWOOD",
"state": "WV",
"postal_code": "259810253",
"telephone_number": "304-438-9252",
"fax_number": "304-438-7148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINWOOD EMERGENCY AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2011-02-21",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SERENA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PT ACCOUNTS",
"authorized_official_telephone_number": "304-438-9252",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WV",
"license": "31344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145769000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "086795400",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "407590215",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1141627",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT ST BCBS",
"identifier": "001704988",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quinwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.