Active NPI
Weston Lewis County Emergency Ambulance Service Authority
- Land Ambulance
- Weston, WV
National Provider Identifier
1457351249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WESTON LEWIS COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
- Practice address
- 155 West 2ND St
Weston, WV 26452-1665 - Phone
- (304) 269-8207
- Fax
- (304) 269-8208
- NPI assigned
- Jul 22, 2005
- 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 C Taylor
- Title
- Coordinator
- Phone
- (304) 269-8207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
155 West 2ND St
Weston, WV 26452-1665
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001705357 | Other | WV | HIGHMARK |
| 590029305 | Other | WV | RR MEDICARE |
| 889369 | Other | WV | BLACK LUNG |
| 001705357 | Other | WV | BLUE CROSS |
| 0145596000 | Medicaid | WV | |
| 221371 | Other | WV | CARELINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050105000513 | WV | Part B Supplier - Ambulance Service Supplier | 1658329727 | Practice locations: Weston, WV |
National Provider Directory
National Provider Directory- Tax ID family
- Weston Lewis County Emergency Ambulance Service Authority
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Weston, WV
- NPI 1578707063
Locations
155 W 2nd St
Weston, WV 26452
Phone (304) 269-8207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1457351249",
"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": "155 WEST 2ND ST",
"city": "WESTON",
"state": "WV",
"postal_code": "264521665",
"telephone_number": "304-269-8207",
"fax_number": "304-269-8208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTON LEWIS COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "COORDINATOR",
"authorized_official_telephone_number": "304-269-8207"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "001705357",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590029305",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "889369",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001705357",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145596000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "221371",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.