Organization Active NPI

Stone Church Vol Fire Dept

  • Ambulance
  • Wheeling, WV
National Provider Identifier
1750404513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0144573000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000046 WV Part B Supplier - Ambulance Service Supplier 5799860342 Practice locations: Wheeling, WV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.