Active NPI
Monongalia Emergency Medical Services Inc
- Ambulance
- Morgantown, WV
National Provider Identifier
1548371362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145387000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050418000476 | WV | Part B Supplier - Ambulance Service Supplier | 2860430279 | Practice locations: Morgantown, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0999282 | Monongalia Emergency Medical Services Inc | Certificate of waiver | May 8, 2028 |
National Provider Directory
National Provider DirectoryNPI 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
- Monongalia County General Hospital Company
- Monongalia County General Hospital Company
- Monongalia County Health Department
- Monongalia County Society for Crippled Children and Adults (SteppingStones)
- Monongalia County Youth Service Center, Inc.
- Monongalia Eye Clinic LLC
- Monongalia Home Corporation (Sundale Nursing Home)
- Monongalia Orthopedic Foot and Ankle Center (Greschner Foot & Ankle Specialists)
- Monongalia Pediatric & Youth Associates, Inc.
- Monongalia Pediatric & Youth Associates, Inc.
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.