Active NPI
Putnam County Commission
Doing business as Putnam County EMS
- Ambulance
- Winfield, WV
National Provider Identifier
1205825999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- PUTNAM COUNTY COMMISSION
- Doing business as
- Putnam County EMS
- Practice address
- 100 Emergency Lane
Winfield, WV 25213 - Phone
- (304) 586-0248
- Fax
- (304) 586-3049
- NPI assigned
- Oct 17, 2005
- Last updated
- Dec 19, 2022
- 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
- Kraig D Barker
- Title
- Director
- Phone
- (304) 586-0248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
100 Emergency Lane
Winfield, WV 25213
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014545200 | Medicaid | WV | |
| 000223070 | Other | WV | BC |
Other names 1
- PUTNAM COUNTY EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040921000167 | WV | Part B Supplier - Ambulance Service Supplier | 7416925185 | Practice locations: Winfield, WV |
| O20201218002445 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416925185 | Practice locations: Winfield, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2178353 | Putnam County Commission Dba Putnam County EMS | Certificate of waiver | Jan 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
100 Emergency Ln
Winfield, WV 25213
Phone (304) 586-0248
12093 Winfield Rd
Winfield, WV 25213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1205825999",
"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": "304-521-1576",
"fax_number": "304-521-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMERGENCY LANE",
"city": "WINFIELD",
"state": "WV",
"postal_code": "25213",
"telephone_number": "304-586-0248",
"fax_number": "304-586-3049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUTNAM COUNTY COMMISSION",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "KRAIG",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "304-586-0248"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014545200",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "000223070",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PUTNAM COUNTY EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winfield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.