Mason County Emergency Ambulance Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MASON COUNTY EMERGENCY AMBULANCE AUTHORITY

Practice address

2309 Jackson Ave
Point Pleasant, WV 25550-2005

Phone

(304) 675-6134

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Chuck Blake

Title

Chief

Phone

(304) 675-6134

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1922274059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 JACKSON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255502005",
            "telephone_number": "304-675-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON COUNTY EMERGENCY AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-675-6134"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080025800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013584",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001705580",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2196556",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000056000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "224644",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pepsi Marchal
• Thaddeus Dean Martin, MD
• Mason County Action Group, Inc.
• Mason County Board of Education
• Mason County Emergency Ambulance Authority
• Mason County Health Department
• Donnavon Terrance Mayes
• John Michael Mayes
• Ashley McCabe
• Brittany McClure, FNP-C

• Land Ambulance in Point Pleasant, WV
• Providers in Point Pleasant, 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 May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.