Weirton Area Ambulance & Rescue Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

WEIRTON AREA AMBULANCE & RESCUE SQUAD INC

Practice address

1305 Pennsylvania Avenue
Weirton, WV 26062

Phone

(304) 797-1233

Fax

(304) 748-5445

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Penny Ann Bricker

Title

Medicare Manager

Phone

(304) 797-1233

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1790719631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PENNSYLVANIA AVENUE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-797-1233",
            "fax_number": "304-748-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PENNSYLVANIA AVENUE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-797-1233",
            "fax_number": "304-748-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIRTON AREA AMBULANCE & RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICARE MANAGER",
        "authorized_official_telephone_number": "304-797-1233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE CROSS",
            "identifier": "000213152",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DOW",
            "identifier": "0300810",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014558700",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikole D Wallace
• Robert E Wallace
• Jaclyn Marie Walters
• Liz L. Watkins, LPC
• Mark Steven Watson
• Weirton Dialysis Center, LLC
• Weirton Eye Clinic, Inc.
• Weirton Geriatric Center Inc
• Weirton Geriatric Center, Inc.(Nems)
• Weirton Health Care

• Ambulance in Weirton, WV
• Providers in Weirton, WV by specialty
• Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.