Organization Active NPI

Belington Emergency Squad Inc

  • Ambulance
  • Belington, WV
National Provider Identifier
1407983547
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
WVEMS Issued in WV
Legal business name
BELINGTON EMERGENCY SQUAD INC
Practice address
44 Elliot Ave
Belington, WV 26250-2625
Phone
(304) 823-2010
Fax
(304) 823-2692
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Derek Hart
Title
Director
Phone
(304) 823-2010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WVEMS WV Primary
Ambulance 341600000X WV

Addresses

Primary practice location

44 Elliot Ave
Belington, WV 26250-2625

Mailing address

PO Box 922
Belington, WV 26250-0922
Phone (304) 823-2010

Other identifiers 4

IdentifierTypeStateIssuer
000226703OtherWVBLUE CROSS
0144848000MedicaidWV
088558800OtherWVBLACK LUNG
590029193OtherWVRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000425 WV Part B Supplier - Ambulance Service Supplier 7416030333 Practice locations: Belington, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407983547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262500922",
            "telephone_number": "304-823-2010",
            "fax_number": "304-823-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ELLIOT AVE",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262502625",
            "telephone_number": "304-823-2010",
            "fax_number": "304-823-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELINGTON EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-823-2010"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000226703",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144848000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "088558800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590029193",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.