NPIMap

Organization Active NPI

Kanawha County Emergency Ambulance Authority

  • Land Ambulance
  • Charleston, WV
National Provider Identifier
1275690737
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY
Practice address
601 Brooks St
Charleston, WV 25301-1319
Phone
(304) 345-2312
Fax
(304) 352-5316
NPI assigned
Jan 3, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Monica Leah Mason, FNPNPI 1528290087
Title
Executive Dir, Chief of Med Service
Phone
(304) 345-2312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV Primary

Addresses

Primary practice location

601 Brooks St
Charleston, WV 25301-1319

Mailing address

601 Brooks St
Charleston, WV 25301-1319
Phone (304) 345-2312

Other names 1

  • Kanawha County Ambulance Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000593 WV Part B Supplier - Ambulance Service Supplier 3779655535 Practice locations: Saint Albans, WV; Bank, WV; South Charleston, WV; Nitro, WV; Marmet, WV; Lkview, WV; Dunbar, WV; Clendenin, WV…

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19259/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275690737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011319",
            "telephone_number": "304-345-2312",
            "fax_number": "304-352-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011319",
            "telephone_number": "304-345-2312",
            "fax_number": "304-352-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "EXECUTIVE DIR, CHIEF OF MED SERVICE",
        "authorized_official_telephone_number": "304-345-2312",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kanawha County Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kanawha County Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.