Shavers Fork Fire Rescue Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SHAVERS FORK FIRE RESCUE INC

Practice address

150 Rescue Road
Snowshoe, WV 26209

Phone

(304) 572-3473

Fax

(304) 572-2400

NPI assigned

Jul 22, 2005

Last updated

May 30, 2025By 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

Brandon Jones

Title

Director of EMS

Phone

(304) 661-8101

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haley Spencer, NREMT-BASIC

  • Basic Emergency Medical Technician
  • Snowshoe, WV
  • NPI 1487543047
  NPD

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1205836095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "SNOWSHOE",
            "state": "WV",
            "postal_code": "262090388",
            "telephone_number": "304-572-3473",
            "fax_number": "304-572-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RESCUE ROAD",
            "city": "SNOWSHOE",
            "state": "WV",
            "postal_code": "26209",
            "telephone_number": "304-572-3473",
            "fax_number": "304-572-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVERS FORK FIRE RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2025-05-30",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "304-661-8101"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "=========",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001776953",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002251",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "=========",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "263174",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "=========",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Sams, PMHNP-BC,FNP-BC,APRN
• Snowshoe Mountain Inc. (Snowshoe Health Center)
• Haley Spencer, NREMT-BASIC

• Ambulance in Snowshoe, WV
• Providers in Snowshoe, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.