Active NPI
Stone Church Vol Fire Dept
- Ambulance
- Wheeling, WV
National Provider Identifier
1750404513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- STONE CHURCH VOL FIRE DEPT
- Practice address
- 621 Stone Church Rd
Wheeling, WV 26003 - Phone
- (304) 242-7737
- Fax
- (304) 232-2586
- NPI assigned
- Apr 9, 2007
- 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
- Kim A Ayers
- Title
- Billing Clerk
- Phone
- (304) 765-5727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | WV | Primary |
Addresses
Primary practice location
621 Stone Church Rd
Wheeling, WV 26003
Mailing address
51 McGregor Dr
Sutton, WV 26601
Phone (304) 765-5727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0144573000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080307000046 | WV | Part B Supplier - Ambulance Service Supplier | 5799860342 | Practice locations: Wheeling, WV |
National Provider Directory
National Provider DirectoryLocations
621 Stone Church Rd
Wheeling, WV 26003
Phone (304) 242-7737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750404513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MCGREGOR DR",
"city": "SUTTON",
"state": "WV",
"postal_code": "26601",
"telephone_number": "304-765-5727",
"fax_number": "304-765-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 STONE CHURCH RD",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-242-7737",
"fax_number": "304-232-2586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE CHURCH VOL FIRE DEPT",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AYERS",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "304-765-5727"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0144573000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.