Active NPI
Wetzel County Emergency Ambulance
- Ambulance
- Hundred, WV
National Provider Identifier
1639378581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- WV EMS
- Legal business name
- WETZEL COUNTY EMERGENCY AMBULANCE
- Practice address
- Pennsylvania Avenue Route 69
Hundred, WV 26575 - Phone
- (304) 455-5931
- NPI assigned
- Jul 12, 2007
- Last updated
- May 13, 2009
- 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
- Carla McBee
- Title
- Chief
- Phone
- (304) 455-5931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | WV EMS | WV | Primary |
Addresses
Primary practice location
Pennsylvania Avenue Route 69
Hundred, WV 26575
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 522-7533
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081132300 | Other | WV | BLACK LUNG |
| 0145310003 | Medicaid | WV | |
| 0596814 | Medicaid | OH | |
| 590012565 | Other | WV | RAILROAD MEDICARE |
| 001705438 | Other | WV | BLUE CROSS BLUE SHIELD |
Other names 1
- WETZEL COUNTY EMERGENCY AMBULANCE AUTHORITY UNITED
National Provider Directory
National Provider Directory- Tax ID family
- Wetzel County Emergency Ambulance
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- New Martinsville, WV
- NPI 1093715872
-
- Ambulance
- Pine Grove, WV
- NPI 1720287675
-
- Ambulance
- Proctor, WV
- NPI 1811196769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1639378581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 4TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011407",
"telephone_number": "304-522-7533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PENNSYLVANIA AVENUE ROUTE 69",
"city": "HUNDRED",
"state": "WV",
"postal_code": "26575",
"telephone_number": "304-455-5931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WETZEL COUNTY EMERGENCY AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "MCBEE",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "304-455-5931"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WV",
"license": "WV EMS",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "081132300",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145310003",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0596814",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590012565",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001705438",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WETZEL COUNTY EMERGENCY AMBULANCE AUTHORITY UNITED",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hundred, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.