Active NPI
Wardensville Volunteer Rescue Squad Inc
- Land Ambulance
- Wardensville, WV
National Provider Identifier
1356715866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WARDENSVILLE VOLUNTEER RESCUE SQUAD INC
- Practice address
- 35 Oak Street
Wardensville, WV 26851 - Phone
- (304) 874-3733
- Fax
- (304) 874-3733
- NPI assigned
- Nov 20, 2015
- Last updated
- Mar 22, 2016
- 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
- Tom Walker
- Title
- President
- Phone
- (304) 874-3733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
35 Oak Street
Wardensville, WV 26851
Mailing address
PO Box 456
Wardensville, WV 26851-0456
Phone (304) 874-3733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160426001005 | WV | Part B Supplier - Ambulance Service Supplier | 4688973696 | Practice locations: Wardensville, WV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1356715866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 456",
"city": "WARDENSVILLE",
"state": "WV",
"postal_code": "268510456",
"telephone_number": "304-874-3733",
"fax_number": "304-874-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 OAK STREET",
"city": "WARDENSVILLE",
"state": "WV",
"postal_code": "26851",
"telephone_number": "304-874-3733",
"fax_number": "304-874-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARDENSVILLE VOLUNTEER RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-20",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-874-3733"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wardensville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.