Independent Fire Company No. 1 of Charles Town West Virginia

Primary specialty

AmbulanceTaxonomy code 341600000X

License

WVEMS Issued in WV

Legal business name

INDEPENDENT FIRE COMPANY NO. 1 OF CHARLES TOWN WEST VIRGINIA

Doing business as

Independent Fire Company No. 1

Practice address

200 W. Second Avenue
Ranson, WV 25438-1071

Phone

(304) 725-2514

Fax

(304) 728-6006

NPI assigned

Apr 13, 2007

Last updated

Oct 5, 2012By 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) 521-1576

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Independent Fire Company No. 1 Doing business as

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1295959799",
    "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": "304-521-1576",
            "fax_number": "304-521-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W. SECOND AVENUE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381071",
            "telephone_number": "304-725-2514",
            "fax_number": "304-728-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT FIRE COMPANY NO. 1 OF CHARLES TOWN WEST VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "304-521-1576"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145327000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000236376",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS WV",
            "identifier": "000236376",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413426500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Fire Company No. 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Hite
• Tasia Ann Holmes
• Stephanie Melissa Hoyle
• Gregory T. Humphreys, P.T.
• Ronald Gene Hutson, PA-C
• Eric Ingersoll
• Inhome Medications WV, Inc
• Inhome Medications WV, Inc
• Payton Nicole Jackson, PHARMD
• Kassidy James, CPHT

• Ambulance in Ranson, WV
• Providers in Ranson, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.