Active NPI
Fork Ridge EMS Inc.
- Land Ambulance
- Ansted, WV
National Provider Identifier
1639347669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- FORK RIDGE EMS INC.
- Practice address
- 130 East Main Street
Ansted, WV 25812-0520 - Phone
- (304) 658-5940
- Fax
- (304) 658-5941
- NPI assigned
- Feb 12, 2008
- 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
- Mrs. Donna Legg
- Title
- Office Manager
- Phone
- (304) 658-5940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
130 East Main Street
Ansted, WV 25812-0520
Mailing address
PO Box 520
Ansted, WV 25812-0520
Phone (304) 658-5940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590014570 | Other | WV | RAILROAD MEDICARE |
| 8002019000 | Medicaid | WV | |
| AMB672 | Other | WV | HEALTH PLAN OF UPPER OHIO |
| 002013053 | Other | WV | MOUNTAIN STATE BCBS |
Other names 1
- FORK RIDGE VFD AND EMS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218412800000",
"number": "1639347669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "ANSTED",
"state": "WV",
"postal_code": "258120520",
"telephone_number": "304-658-5940",
"fax_number": "304-658-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EAST MAIN STREET",
"city": "ANSTED",
"state": "WV",
"postal_code": "258120520",
"telephone_number": "304-658-5940",
"fax_number": "304-658-5941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORK RIDGE EMS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2008-08-11",
"status": "A",
"authorized_official_last_name": "LEGG",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "304-658-5940",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590014570",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8002019000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF UPPER OHIO",
"identifier": "AMB672",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "002013053",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FORK RIDGE VFD AND EMS",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Ansted, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.