Organization Active NPI

Tucker County Emergency Ambulance Service Authority

  • Land Ambulance
  • Huntington, WV
National Provider Identifier
1275516189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
WVEMS Issued in WV
Legal business name
TUCKER COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
Practice address
836 4TH Ave
Huntington, WV 25701-1407
Phone
(800) 676-4785
Fax
(304) 522-4222
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Gray
Title
Chief
Phone
(304) 478-2296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WVEMS WV Primary

Addresses

Primary practice location

836 4TH Ave
Huntington, WV 25701-1407

Mailing address

201 Walnut St
Parsons, WV 26287-1046
Phone (304) 478-2296

Other identifiers 1

IdentifierTypeStateIssuer
0145548000MedicaidWV

National Provider Directory

National Provider Directory

Locations

201 Walnut St
Rm 1
Parsons, WV 26287
Phone (304) 478-2296

201 Walnut St
Parsons, WV 26287

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275516189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WALNUT ST",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262871046",
            "telephone_number": "304-478-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "800-676-4785",
            "fax_number": "304-522-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-478-2296"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145548000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • 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.