Organization Active NPI

Monongalia Emergency Medical Services Inc

  • Ambulance
  • Morgantown, WV
National Provider Identifier
1548371362
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MONONGALIA EMERGENCY MEDICAL SERVICES INC
Practice address
801 J D Anderson Dr
Morgantown, WV 26505-3477
Phone
(304) 285-2715
Fax
(304) 598-1699
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Forest Weyen II
Title
Executive Director
Phone
(304) 285-2715

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WV Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

801 J D Anderson Dr
Morgantown, WV 26505-3477

Mailing address

PO Box 502
Morgantown, WV 26507-0502
Phone (304) 285-2715

Other identifiers 1

IdentifierTypeStateIssuer
0145387000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418000476 WV Part B Supplier - Ambulance Service Supplier 2860430279 Practice locations: Morgantown, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0999282Monongalia Emergency Medical Services Inc801 J D Anderson Drive, Morgantown, WV 26505Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1548371362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070502",
            "telephone_number": "304-285-2715",
            "fax_number": "304-598-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053477",
            "telephone_number": "304-285-2715",
            "fax_number": "304-598-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONGALIA EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "WEYEN",
        "authorized_official_first_name": "FOREST",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-285-2715",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145387000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.