Hardy County Emergency Ambulance Authority Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

61616 Issued in WV

Legal business name

HARDY COUNTY EMERGENCY AMBULANCE AUTHORITY INC

Practice address

17940 State Road 55
Baker, WV 26801

Phone

(304) 897-6050

Fax

(304) 897-7572

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Derek Alt

Title

Director

Phone

(304) 897-6050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Aberdeen Huntington Township Life Squad2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Huntington Township Trustees

  • Ambulance
  • Aberdeen, OH
  • NPI 1164420089
  NPD tax ID

Practitioners 1

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

• Arthur J Cerami Jr., PA-C

  • Physician Assistant
  • Mathias, WV
  • NPI 1699728014
  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1508301250",
    "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": "17940 STATE ROAD 55",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "26801",
            "telephone_number": "304-897-6050",
            "fax_number": "304-897-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY COUNTY EMERGENCY AMBULANCE AUTHORITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ALT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-897-6050"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "61616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E.a. Hawse Health Center, Inc
• E.a. Hawse Nursing & Rehabilitation Center LLC
• Kelli Eglinger, PA
• Gerald Funkhouser
• Barbara Jean Geary, RPH
• Donald D Harris, PA C
• Hawse SNF LLC
• Shanti Luna Hicks
• Elizabeth Hott, NP-C
• Brian Humphries

• All providers in Baker, WV
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.