White Sulphur Springs Emergency Medical Services, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WHITE SULPHUR SPRINGS EMERGENCY MEDICAL SERVICES, INC

Practice address

195 Bob White Lane
White Sulphur Springs, WV 24986-2204

Phone

(304) 536-4122

NPI assigned

Jul 22, 2005

Last updated

Oct 11, 2012By 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

Thomas Hayes

Title

Chief

Phone

(304) 536-4122

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Tax ID family

White Sulphur Springs Emergency Medical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White Sulphur Springs EMS

  dba White Sulphur Springs Rescue Squad

  • Ambulance
  • White Sulphur Springs, WV
  • NPI 1265676407
  NPD tax ID

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1689674467",
    "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": "304-521-1576",
            "fax_number": "304-521-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 BOB WHITE LANE",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862204",
            "telephone_number": "304-536-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SULPHUR SPRINGS EMERGENCY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-536-4122"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010199212",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145925000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000229624",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "086641800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00352373",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George R Thompson, MD
• Dezirae F Tweedie
• Nikki Van
• Walgreen Co (Walgreens #19961)
• Maureen Elizabeth Webb, DPT
• White Sulphur Springs EMS (White Sulphur Springs Rescue Squad)
• Bethany Marie White
• Deborah White
• Jessie Ford Whited
• Lynn R Wilcher, OT

• Land Ambulance in White Sulphur Springs, WV
• Providers in White Sulphur Springs, 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 Oct 11, 2012; 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.