City of Bridgeport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF BRIDGEPORT

Practice address

131 W Main St
Bridgeport, WV 26330-1714

Phone

(304) 842-8223

Fax

(304) 842-8254

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andro Kim Haws

Title

City Manager

Phone

(304) 842-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609880699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263306310",
            "telephone_number": "304-842-8223",
            "fax_number": "304-842-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301714",
            "telephone_number": "304-842-8223",
            "fax_number": "304-842-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRIDGEPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "ANDRO",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "304-842-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meranda Chipps, NP-C
• Laura Steiner Christy, O.D.
• David H Church, M.D.
• David A Ciarolla, MD
• Kathy Citerone, OTRL
• Jazzriel Le Clark-Casto, NP
• Samantha Clark, LICSW
• Clarksburg Cardiology Consultants
• Clarksburg Cardiovascular PLLC
• Clarksburg ENT - Uha

• Land Ambulance in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.