Organization Active NPI

Fraley Ambulance Service

  • Land Ambulance
  • Moorefield, WV
National Provider Identifier
1386670701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FRALEY AMBULANCE SERVICE
Practice address
106 Washington St
Moorefield, WV 26836-1139
Phone
(304) 530-0076
Fax
(304) 530-2056
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pattie M Fraley
Title
Owner
Phone
(304) 530-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV Primary

Addresses

Primary practice location

106 Washington St
Moorefield, WV 26836-1139

Mailing address

106 Washington St
Moorefield, WV 26836-1139
Phone (304) 530-0076

Other identifiers 1

IdentifierTypeStateIssuer
0145282000MedicaidWV

National Provider Directory

National Provider Directory

Locations

106 Washington St
Moorefield, WV 26836
Phone (304) 530-0076

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386670701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WASHINGTON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361139",
            "telephone_number": "304-530-0076",
            "fax_number": "304-530-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WASHINGTON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361139",
            "telephone_number": "304-530-0076",
            "fax_number": "304-530-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRALEY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-530-0076",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145282000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.