NPIMap

Organization Active NPI

Doddridge County Ambulance Authority

  • Land Ambulance
  • West Union, WV
National Provider Identifier
1609185933
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DODDRIDGE COUNTY AMBULANCE AUTHORITY
Practice address
118 E Court St
West Union, WV 26456-1262
Phone
(304) 473-8988
Fax
(304) 472-9849
NPI assigned
Oct 5, 2010
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Randy Flinn
Title
Executive Director
Phone
(304) 873-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV Primary

Addresses

Primary practice location

118 E Court St
West Union, WV 26456-1262

Mailing address

PO Box 129
Buckhannon, WV 26201-0129
Phone (304) 473-8988

Other identifiers 1

IdentifierTypeStateIssuer
3810018432MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1609185933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262010129",
            "telephone_number": "304-473-8988",
            "fax_number": "304-472-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E COURT ST",
            "city": "WEST UNION",
            "state": "WV",
            "postal_code": "264561262",
            "telephone_number": "304-473-8988",
            "fax_number": "304-472-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODDRIDGE COUNTY AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-873-3650"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018432",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.