City of Martinsburg

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

UNNUMBERED Issued in WV

Legal business name

CITY OF MARTINSBURG

Practice address

200 N Raleigh St
Martinsburg, WV 25401-2755

Phone

(304) 264-2111

Fax

(304) 521-1576

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Bradley Jay Knieriem

Title

Fire Chief

Phone

(304) 264-2111

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1386673085",
    "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": "200 N RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012755",
            "telephone_number": "304-264-2111",
            "fax_number": "304-521-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MARTINSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "KNIERIEM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "304-264-2111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "UNNUMBERED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00048822",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8040043000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001705605",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City Hospital, Inc.
• City Hospital, Inc.
• City Hospital, Inc.
• City Hospital, Inc.
• City Hospital, Inc.
• City Pediatrics
• City Pharmacy
• Ashley Clark
• Crystal Clark
• Evan Hale Clark, MSW

• Land Ambulance in Martinsburg, WV
• Providers in Martinsburg, 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 Aug 20, 2025; 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.