Mathias-Baker Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MATHIAS-BAKER VOLUNTEER FIRE COMPANY

Practice address

12412 Sr 259
Mathias, WV 26812

Phone

(304) 820-6648

NPI assigned

Dec 6, 2013

Last updated

Dec 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Santana, NREMT-P

Title

EMS Captain

Phone

(304) 820-6648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1760813448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 SR 259",
            "city": "MATHIAS",
            "state": "WV",
            "postal_code": "26812",
            "telephone_number": "304-820-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHIAS-BAKER VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "304-820-6648",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dawn Funkhouser
• Nancy Mildred Gordon
• Tabitha Gordon
• Merissa Hill
• Mathias-Baker Vol Emerg
• Steven Miller
• Rebecca Reynolds
• Malyndia France Sager
• Allison Saul
• Valerie Saul

• Land Ambulance in Mathias, WV
• Providers in Mathias, 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 Dec 6, 2013; 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.