Braxton County Emergency Ambulance Service Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BRAXTON COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY

Doing business as

Braxton County Easa

Practice address

685 Days Drive
Sutton, WV 26601-9206

Phone

(304) 765-5361

Fax

(304) 765-5421

NPI assigned

Aug 19, 2005

Last updated

Jul 13, 2026By 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

Jennifer Dawn Clark

Title

Director

Phone

(304) 618-5322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRAXTON COUNTY EASA Doing business as

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": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1831181353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 DAYS DRIVE",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019206",
            "telephone_number": "304-765-5361",
            "fax_number": "304-765-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAXTON COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-618-5322"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145123000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAXTON COUNTY EASA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanna Marie Bragg
• Teresa J Bragg
• Braxton County Board of Education
• Braxton County Board of Education
• Braxton County Board of Health
• Braxton County Senior Citizens Center, Inc.
• Braxton County Senior Citizens Center, Inc.
• Braxton County Senior Citizens Center, Inc.
• Braxton County Senior Citizens Center, Inc.
• Braxton Health Care Center LLC

• Land Ambulance in Sutton, WV
• Providers in Sutton, 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 13, 2026; 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.