Capon Bridge Rescue Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CAPON BRIDGE RESCUE SQUAD INC

Practice address

US Route 50
Capon Bridge, WV 26711-0265

Phone

(304) 856-3109

Fax

(304) 856-3109

NPI assigned

Apr 30, 2007

Last updated

Aug 14, 2008By 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

Mike Wheeler

Title

Provider Relations Specialist

Phone

(304) 522-7533

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1285854307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVENUE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-522-7533",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US ROUTE 50",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "267110265",
            "telephone_number": "304-856-3109",
            "fax_number": "304-856-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPON BRIDGE RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "304-522-7533"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WV EMS",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001705463",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144690000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "083237400",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009398",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talauna Kay Boyer
• Marita Burrows
• Capon Bridge Family Practice, LLC
• Raven Leigh Conneway
• Carol Deslauriers, PTA
• Dr Norman E Wood Jr PA (Doctors Urgent Care and Family Practice)
• E. a. Hawse Health Center, Inc. (Capon Bridge Middle School)
• E. a. Hawse Health Center, Inc. (Capon Bridge Elementary School)

• Ambulance in Capon Bridge, WV
• Providers in Capon Bridge, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.