Berkeley County Emergency Ambulance Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BERKELEY COUNTY EMERGENCY AMBULANCE AUTHORITY

Practice address

400 West Stephen Street
Suite 207
Martinsburg, WV 25401

Phone

(304) 264-1995

Fax

(304) 267-1753

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Brian Costello

Title

EMS Director

Phone

(304) 264-1995

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1750475281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST STEPHEN STREET",
            "address_2": "SUITE 207",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-264-1995",
            "fax_number": "304-267-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST STEPHEN STREET",
            "address_2": "SUITE 207",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-264-1995",
            "fax_number": "304-267-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY COUNTY EMERGENCY AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "304-264-1995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "NO NUMBER GIVEN",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144833000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkeley Co Comm on Aging
• Berkeley Co Comm on Aging
• Berkeley County Committee on Aging, Inc.
• Berkeley County Council
• Berkeley County Council
• Berkeley Family Medicina Associates Lab
• Berkeley Family Medicine
• Berkeley Family Medicine and Urgent Care
• Berkeley Haven Limited Partnership
• Julie M Berkstresser, PA-C

• Land Ambulance in Martinsburg, WV
• Providers in Martinsburg, 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 Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.