NPIMap

Organization Active NPI

Wideners Ambulance Service, Inc

  • Land Ambulance
  • Northfork, WV
National Provider Identifier
1720133986
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
NO NUMBER Issued in WV
Legal business name
WIDENERS AMBULANCE SERVICE, INC
Practice address
102 Main Street
Northfork, WV 24868
Phone
(304) 862-4339
NPI assigned
Jan 25, 2007
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mike Widener
Title
Director
Phone
(304) 862-4339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NO NUMBER WV Primary

Addresses

Primary practice location

102 Main Street
Northfork, WV 24868

Mailing address

PO Box 728
Northfork, WV 24868-0728
Phone (304) 862-4339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1720133986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "NORTHFORK",
            "state": "WV",
            "postal_code": "248680728",
            "telephone_number": "304-862-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN STREET",
            "city": "NORTHFORK",
            "state": "WV",
            "postal_code": "24868",
            "telephone_number": "304-862-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDENERS AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "WIDENER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-862-4339"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "NO NUMBER",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfork, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.