Terra Alta Community Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TERRA ALTA COMMUNITY AMBULANCE

Practice address

1124 E State Ave
Terra Alta, WV 26764-1465

Phone

(304) 789-6566

Fax

(304) 789-6566

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Joyce Metheny

Title

Vice President

Phone

(304) 789-6006

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1619969722",
    "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": "1124 E STATE AVE",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267641465",
            "telephone_number": "304-789-6566",
            "fax_number": "304-789-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA ALTA COMMUNITY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "METHENY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-789-6006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145535000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409853600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy B Smith
• Kimberly Stump
• Summit Health Care, Inc
• Sammy Syruws
• Shelby Rose Tasker
• Terra Alta Community Amulance Squad
• Odette Bridget Teter
• Mary Ann Whitehair, CRNP
• WV Dept. of Health & Health Facilities

• Ambulance in Terra Alta, WV
• Providers in Terra Alta, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.