Active NPI
Morgan County Rescue Service Inc
- Land Ambulance
- Berkeley Springs, WV
National Provider Identifier
1922038215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 049620
- Legal business name
- MORGAN COUNTY RESCUE SERVICE INC
- Practice address
- 1258 Valley Rd
Berkeley Springs, WV 25411-4800 - Phone
- (304) 258-4594
- Fax
- (304) 258-6218
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renea M Stansbury
- Title
- Financial/Personnel Director
- Phone
- (304) 258-4594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 049620 | WV | Primary |
Addresses
Primary practice location
1258 Valley Rd
Berkeley Springs, WV 25411-4800
Mailing address
1258 Valley Rd
Berkeley Springs, WV 25411-4800
Phone (304) 258-4594
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 777568700 | Medicaid | MD | |
| 0145392000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090509000063 | WV | Part B Supplier - Ambulance Service Supplier | 9234287731 | Practice locations: Berkeley Springs, WV |
National Provider Directory
National Provider DirectoryLocations
1258 Valley Rd
Berkeley Springs, WV 25411
Phone (304) 258-1352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1922038215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 VALLEY RD",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "254114800",
"telephone_number": "304-258-4594",
"fax_number": "304-258-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 VALLEY RD",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "254114800",
"telephone_number": "304-258-4594",
"fax_number": "304-258-6218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORGAN COUNTY RESCUE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "STANSBURY",
"authorized_official_first_name": "RENEA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FINANCIAL/PERSONNEL DIRECTOR",
"authorized_official_telephone_number": "304-258-4594"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": "049620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777568700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145392000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley Springs, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.