Healthteam Critical Care Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HEALTHTEAM CRITICAL CARE TRANSPORT LLC

Practice address

3211 Maccorkle Ave SE
Charleston, WV 25304-1211

Phone

(304) 340-8000

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Clinton Burley

Title

President/Ceo

Phone

(304) 340-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Healthnet Aeromedical Services Inc.

  • Air Ambulance
  • Charleston, WV
  • NPI 1801875166

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1316334972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WYOMING ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041211",
            "telephone_number": "304-340-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEAM CRITICAL CARE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "BURLEY",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "304-340-2000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthnet Aeromedical Services Inc.
• Healthnet Inc
• Healthpath Medical & Psychiatric Care LLC
• Healthpath Medical & Psychiatric Care LLC
• Healthquest Therapy and Wellness
• Jacob Heard
• Mollie Hearn
• Hearts of Gold in Home Care, LLC
• Constance Heater
• Mary Heater

• Land Ambulance in Charleston, WV
• Providers in Charleston, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.