Clay County Ambulance Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CLAY COUNTY AMBULANCE SERVICES

Practice address

464 Main St.
Clay, WV 25043

Phone

(304) 587-2554

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Wayne Harmon

Title

Patient Account Manager

Phone

(304) 345-2312

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Clay County Ambulance 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

Tax ID family

Clay County Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clay County Emergency Ambulance

  • Ambulance
  • Clay, WV
  • NPI 1598763401
  NPD tax ID

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295872018",
    "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": "464 MAIN ST.",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY AMBULANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "304-345-2312"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001705377",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145262000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandy Elizabeth Chandler, FNP
• Sylvia Childs
• Sarah B Chouinard, MD
• Sonja L Christian
• Angela Dawn Church
• Clay County Board of Education
• Clay County Board of Health
• Clay County Board of Health
• Clay County Development Corporation
• Clay County Development Corporation

• All providers in Clay, WV
• Land Ambulance in West Virginia

• 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.
• 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.