Active NPI
Pendleton Co Emergency Rescue
- Ambulance
- Franklin, WV
National Provider Identifier
1295858058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- PENDLETON CO EMERGENCY RESCUE
- Practice address
- 227 Mill Road
Franklin, WV 26807 - Phone
- (304) 358-7615
- Fax
- (304) 358-7913
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Missy A Loudin
- Title
- Office Manager
- Phone
- (304) 473-8988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | WV | Primary |
Addresses
Primary practice location
227 Mill Road
Franklin, WV 26807
Mailing address
PO Box 129
Buckhannon, WV 26201-0129
Phone (304) 473-8988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145435000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071031000399 | WV | Part B Supplier - Ambulance Service Supplier | 1951498484 | Practice locations: Franklin, WV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187740800000",
"number": "1295858058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262010129",
"telephone_number": "304-473-8988",
"fax_number": "304-472-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 MILL ROAD",
"city": "FRANKLIN",
"state": "WV",
"postal_code": "26807",
"telephone_number": "304-358-7615",
"fax_number": "304-358-7913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENDLETON CO EMERGENCY RESCUE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2007-08-22",
"status": "A",
"authorized_official_last_name": "LOUDIN",
"authorized_official_first_name": "MISSY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "304-473-8988"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145435000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.