Randolph County Court Emergency Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RANDOLPH COUNTY COURT EMERGENCY SQUAD

Practice address

2 11TH St
Elkins, WV 26241-3512

Phone

(304) 636-1211

Fax

(304) 637-4619

NPI assigned

Jul 20, 2006

Last updated

Jun 5, 2013By 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

Mr. Kurt M Gainer

Title

Director

Phone

(304) 636-1211

Specialties & licenses 2

Addresses

Other names 1

• Randolph County Emergency Squad Other name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1265452510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 11TH ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413512",
            "telephone_number": "304-636-1213",
            "fax_number": "304-637-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 11TH ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413512",
            "telephone_number": "304-636-1211",
            "fax_number": "304-637-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH COUNTY COURT EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "GAINER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-636-1211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph County Emergency Squad",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tessa Rader
• Melissa Raines
• Jacqueline D Ramsey
• Randolph County Board of Education
• Randolph County Board of Education
• Randolph County Eye Care Center PC
• Randolph Elkins Health Department
• Randolph Elkins Health Department
• Michelle Lynn Ratnakar, PA-C
• Nitesh Ratnakar, M.D.; FACG

• Land Ambulance in Elkins, WV
• Providers in Elkins, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.

Verify at the official NPI Registry.