Active NPI
County of Mason
Doing business as Mason County EMS
- Land Ambulance
- Point Pleasant, WV
National Provider Identifier
1356962351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COUNTY OF MASON
- Doing business as
- Mason County EMS
- Practice address
- 911 Emergency Drive
Point Pleasant, WV 25550-2005 - Phone
- (304) 675-6134
- Fax
- (304) 675-7433
- NPI assigned
- Apr 30, 2020
- Last updated
- Oct 18, 2023
- 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
- James S. Ballard
- Title
- EMS Director
- Phone
- (304) 993-4932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
911 Emergency Drive
Point Pleasant, WV 25550-2005
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004435443 | Other | WV | HIGHMARK BLUE SHIELD |
| 1356962351 | Medicaid | WV |
Other names 1
- MASON COUNTY EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200527000689 | WV | Part B Supplier - Ambulance Service Supplier | 7012338270 | Practice locations: Apple Grove, WV; Mason, WV; Point Pleasant, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2179281 | Mason County Emergency Medical Service | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
200 6th St
Point Pleasant, WV 25550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1356962351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 4TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011407",
"telephone_number": "304-521-1576",
"fax_number": "304-521-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 EMERGENCY DRIVE",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255502005",
"telephone_number": "304-675-6134",
"fax_number": "304-675-7433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF MASON",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-30",
"last_updated": "2023-10-18",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "304-993-4932"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "004435443",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356962351",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MASON COUNTY EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.