Bluefield Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BLUEFIELD RESCUE SQUAD INC

Practice address

1900 Stadium Dr
Bluefield, WV 24701-3324

Phone

(304) 325-8367

Fax

(304) 325-7149

NPI assigned

Jul 9, 2006

Last updated

Nov 13, 2012By 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. Samuel Pennington

Title

Administrator

Phone

(304) 325-9471

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1922031061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STADIUM DRIVE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010311",
            "telephone_number": "304-325-8367",
            "fax_number": "304-325-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013324",
            "telephone_number": "304-325-8367",
            "fax_number": "304-325-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIELD RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-325-9471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000207787",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145962000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluefield Medical Associates, Inc.
• Bluefield Pathology Associates Inc
• Bluefield Pharmacy
• Bluefield Regional Medical Center
• Bluefield Regional Medical Center
• Bluefield Womens Center PC
• Bluerad PLLC
• Bluestone Health Association, Inc. (Bluestone Pinnacle Primary Care)
• Bluestone Health Association, Inc. (Bluestone Family Practice)
• Bluewells Family Pharmacy Inc (Bluewells Family Pharmacy)

• Land Ambulance in Bluefield, WV
• Providers in Bluefield, 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 Nov 13, 2012; 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.