Organization Active NPI

Barbour County Emergency Squad Inc.

  • Land Ambulance
  • Philippi, WV
National Provider Identifier
1578636387
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
001 Issued in WV
Legal business name
BARBOUR COUNTY EMERGENCY SQUAD INC.
Practice address
U.S. Route 250 South
Philippi, WV 26416-0055
Phone
(304) 457-2037
Fax
(304) 457-2056
NPI assigned
Nov 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Robert G Jones
Title
Director
Phone
(304) 457-2037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 001 WV Primary

Addresses

Primary practice location

U.S. Route 250 South
Philippi, WV 26416-0055

Mailing address

PO Box 55
Philippi, WV 26416-0055
Phone (304) 457-2037

Other identifiers 1

IdentifierTypeStateIssuer
0144705000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000016 WV Part B Supplier - Ambulance Service Supplier 6800061003 Practice locations: Philippi, WV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578636387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264160055",
            "telephone_number": "304-457-2037",
            "fax_number": "304-457-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. ROUTE 250 SOUTH",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264160055",
            "telephone_number": "304-457-2037",
            "fax_number": "304-457-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBOUR COUNTY EMERGENCY SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-457-2037"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144705000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philippi, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.