Doddridge County Emergency Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DODDRIDGE COUNTY EMERGENCY SQUAD, INC

Practice address

123 Marie St
West Union, WV 26456-1131

Phone

(304) 873-2211

Fax

(304) 873-2222

NPI assigned

Jul 22, 2005

Last updated

Jul 24, 2020By 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

Mr. Kristopher Joseph Barron

Title

Director

Phone

(304) 873-2211

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1811997620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262010129",
            "telephone_number": "304-473-8988",
            "fax_number": "304-206-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARIE ST",
            "city": "WEST UNION",
            "state": "WV",
            "postal_code": "264561131",
            "telephone_number": "304-873-2211",
            "fax_number": "304-873-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODDRIDGE COUNTY EMERGENCY SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-873-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001705522",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC WORKERS COMP",
            "identifier": "1054237",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "221769",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145275000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013570",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doddridge County Board of Education
• Doddridge County Board of Health
• Doddridge County Board of Health
• Doddridge County Board of Health
• Doddridge County Commission (Doddridge County Ambulance Authority)
• Doddridge County Health Department
• Brittany Dotson
• Kathy Dotson
• Teresa Dotson
• Jennifer Dunaway

• Land Ambulance in West Union, WV
• Providers in West Union, 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 Jul 24, 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.