NPIMap

Organization Active NPI

Greenbrier County Emergency Ambulance Service, Inc

  • Ambulance
  • Lewisburg, WV
National Provider Identifier
1871593558
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
31311 Issued in WV
Legal business name
GREENBRIER COUNTY EMERGENCY AMBULANCE SERVICE, INC
Practice address
257 Third Street
Lewisburg, WV 24901-9461
Phone
(304) 645-2252
Fax
(304) 646-3215
NPI assigned
Jul 26, 2005
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Christopher Ramsey
Title
Administrator
Phone
(304) 645-2252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU
Ambulance 341600000X 31311 WV Primary

Addresses

Primary practice location

257 Third Street
Lewisburg, WV 24901-9461

Mailing address

257 Third Street
Lewisburg, WV 24901-9461
Phone (304) 645-2252

Other identifiers 7

IdentifierTypeStateIssuer
086255900OtherWVBLACK LUNG
2644919MedicaidOH
000222296OtherWVBLUE CROSS BLUE SHIELD
010213584MedicaidVA
0145314000MedicaidWV
406590177OtherWVRAILROAD MEDICARE
222078OtherWVCARELINK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000351 WV Part B Supplier - Ambulance Service Supplier 7113079179 Practice locations: Lewisburg, WV

National Provider Directory

National Provider Directory

Locations

257 Third St
Lewisburg, WV 24901
Phone (304) 645-2252

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1871593558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 THIRD STREET",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019461",
            "telephone_number": "304-645-2252",
            "fax_number": "304-646-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 THIRD STREET",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019461",
            "telephone_number": "304-645-2252",
            "fax_number": "304-646-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER COUNTY EMERGENCY AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-645-2252"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WV",
            "license": "31311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "086255900",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2644919",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000222296",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010213584",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145314000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590177",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "222078",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.