NPIMap

Organization Active NPI

McDowell County Ambulance

  • Land Ambulance
  • Welch, WV
National Provider Identifier
1497858955
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
NO NUMBER ON LICENSE Issued in WV
Legal business name
MCDOWELL COUNTY AMBULANCE
Practice address
918 Virginia Ave
Welch, WV 24801-2814
Phone
(304) 436-3877
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Mary Sue Shelton
Title
Executive Director
Phone
(304) 436-3877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NO NUMBER ON LICENSE WV Primary

Addresses

Primary practice location

918 Virginia Ave
Welch, WV 24801-2814

Mailing address

PO Box Ag
Welch, WV 24801-3052
Phone (304) 436-3877

Other identifiers 1

IdentifierTypeStateIssuer
0145761000MedicaidWV

Other names 1

  • McDowell County Emergency Ambulance Service Authority, Inc. Other name

National Provider Directory

National Provider Directory

Locations

918 Virginia Ave
Welch, WV 24801
Phone (304) 436-3877

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1497858955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AG",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248013052",
            "telephone_number": "304-436-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 VIRGINIA AVE",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012814",
            "telephone_number": "304-436-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-436-3877"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "NO NUMBER ON LICENSE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145761000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDowell County Emergency Ambulance Service Authority, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Welch, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.