Harrison County Emergency Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

001 Issued in WV

Legal business name

HARRISON COUNTY EMERGENCY SQUAD

Practice address

660 Oakmound Rd
Clarksburg, WV 26301-9798

Phone

(304) 623-6611

Fax

(304) 623-3046

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard B Rock

Title

Executive Director

Phone

(304) 623-6611

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477680528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019798",
            "telephone_number": "304-623-6611",
            "fax_number": "304-623-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019798",
            "telephone_number": "304-623-6611",
            "fax_number": "304-623-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-623-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145316000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE",
            "identifier": "000224663",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Harper
• Danielle Denise Harris
• Harrison County Board of Education
• Harrison County Board of Education
• Harrison County Commission
• Harrison County Senior Citizens Center Inc
• Harrison County Senior Citizens Center Inc
• Harrison County Senior Citizens Center, Inc.
• Harrison County Senior Citizens Center, Inc.
• Harrison County Senior Citizens Center, Inc.

• Ambulance in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Ambulance in West Virginia

• 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.
• 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.