Potomac Valley Transit Authority

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

POTOMAC VALLEY TRANSIT AUTHORITY

Practice address

Grant County Industrial Park
Petersburg, WV 26847

Phone

(304) 257-1414

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By 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

Mrs. Juanita D Lloyd

Title

Assistant Manager

Phone

(304) 257-1414

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184715633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "26847",
            "telephone_number": "304-257-1414",
            "fax_number": "304-257-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRANT COUNTY INDUSTRIAL PARK",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "26847",
            "telephone_number": "304-257-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC VALLEY TRANSIT AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "304-257-1414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8040006000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Potomac Highlands Guild
• Potomac Highlands Mental Health Guild
• Potomac Highlands Mental Health Guild
• Potomac Highlands Mental Health Guild, Inc.
• Potomac Highlands Mental Health Guild, Inc.
• Alisha Rose Powell
• Kathi D Propst, RN
• Thomas D Propst Jr.
• Betty Puffenbarger
• Mark W Puffenberger, M.D.

• Non-emergency Medical Transport (VAN) in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Non-emergency Medical Transport (VAN) 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.