NPIMap

Organization Active NPI

Pocahontas Memorial Hospital

Doing business as Pocahontas Memorial Hospital Ambulance Service

  • Ambulance
  • Buckeye, WV
National Provider Identifier
1831394949
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
POCAHONTAS MEMORIAL HOSPITAL
Doing business as
Pocahontas Memorial Hospital Ambulance Service
Practice address
RR 2 Box 52W
Buckeye, WV 24924-9643
Phone
(304) 799-7400
NPI assigned
Jun 19, 2007
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Barbara Lay
Title
Ceo
Phone
(304) 799-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

RR 2 Box 52W
Buckeye, WV 24924-9643

Mailing address

150 Duncan Road
Buckeye, WV 24924-9037
Phone (304) 799-7400

Other identifiers 2

IdentifierTypeStateIssuer
1072088OtherWVWV WORKERS COMP
3810010964MedicaidWV

Other names 1

  • POCAHONTAS MEMORIAL HOSPITAL AMBULANCE SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000362 WV Part B Supplier - Ambulance Service Supplier 9234100645 Practice locations: Buckeye, WV

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Pocahontas Memorial Hos9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Duncan Rd
Buckeye, WV 24924
Phone (304) 799-7400

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pocahontas Memorial HospitalBuckeye, WV, CCN 51Z314 Hospital Operational/Managerial Control Aug 9, 2010
Pocahontas Memorial HospitalBuckeye, WV, CCN 511314 Hospital Operational/Managerial Control Aug 9, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1831394949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DUNCAN ROAD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249037",
            "telephone_number": "304-799-7400",
            "fax_number": "307-799-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 52W",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249643",
            "telephone_number": "304-799-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCAHONTAS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-799-7400"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "1072088",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010964",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POCAHONTAS MEMORIAL HOSPITAL AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, WV

Sources for this page

Verify at the official NPI Registry.