Tucker County Ambulance Authority

Primary specialty

AmbulanceTaxonomy code 341600000X

License

WVEMS Issued in WV

Legal business name

TUCKER COUNTY AMBULANCE AUTHORITY

Practice address

213 First Street
Parsons, WV 26287-1046

Phone

(304) 478-2296

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Sheila A. Mavsh

Title

Director

Phone

(304) 478-2296

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy E. Cummings, LPC

  • Mental Health Counselor
  • Parsons, WV
  • NPI 1457477713
  NPD (past)
• Gregory A George II, LPC

  • Mental Health Counselor
  • Moorefield, WV
  • NPI 1972139582
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1689877003",
    "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": "304-206-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 FIRST STREET",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262871046",
            "telephone_number": "304-478-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER COUNTY AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "MAVSH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-478-2296"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "WVEMS",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590029302",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01423631",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145548000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "002016693",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "55055932700",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000226451",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "550559327",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "550559327",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "813343",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Thompson
• Christal Delilah Thompson
• Debra Thompson
• Solena Nicole Thompson
• Connie Townsend, LPC
• Tucker County Board of Education
• Tucker County Board of Education
• Tucker County Board of Health
• Tucker County Health Department
• Tucker County Health Department

• Ambulance in Parsons, WV
• Providers in Parsons, WV by specialty
• Ambulance in West Virginia

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