Organization Active NPI

County of Mason

Doing business as Mason County EMS

  • Land Ambulance
  • Point Pleasant, WV
National Provider Identifier
1356962351
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004435443OtherWVHIGHMARK BLUE SHIELD
1356962351MedicaidWV

Other names 1

  • MASON COUNTY EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2179281Mason County Emergency Medical Service911 Emergency Drive, Point Pleasant, WV 25550Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.