Organization Active NPI

Morgan County Rescue Service Inc

  • Land Ambulance
  • Berkeley Springs, WV
National Provider Identifier
1922038215
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
049620 Issued in WV
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

Updated by the provider on Jul 26, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
777568700MedicaidMD
0145392000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090509000063 WV Part B Supplier - Ambulance Service Supplier 9234287731 Practice locations: Berkeley Springs, WV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.