Mason County Emergency Ambulance Service Authority

Primary specialty

AmbulanceTaxonomy code 341600000X

License

WV EMS Issued in WV

Legal business name

MASON COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY

Practice address

911 Emergency Drive
PT Pleasant, WV 25550-2005

Phone

(304) 675-6134

Fax

(304) 675-7433

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Chuck Blake

Title

Chief

Phone

(304) 675-6134

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1528066511",
    "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": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 EMERGENCY DRIVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255502005",
            "telephone_number": "304-675-6134",
            "fax_number": "304-675-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-675-6134"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WV EMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080025800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013584",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001705580",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2196556",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000056000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason County Action Group Inc
• Mason County Action Group Inc.
• Mason County Action Group, Inc.
• Mason County Board of Education
• Mason County Emergency Ambulance Authority
• Carolyn D McIntyre
• Tedi Jolene Melvin
• Michael Corbin M.D Inc
• Breton L Morgan, MD
• Christa Perroud, CNP

• Ambulance in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.