NPIMap

Organization Active NPI

Valley District Ambulance Inc

  • Land Ambulance
  • Masontown, WV
National Provider Identifier
1942256573
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
NO NUMBER ISSUED Issued in WV
Legal business name
VALLEY DISTRICT AMBULANCE INC
Practice address
10452 Veterans Memorial Hwy
Masontown, WV 26542-0000
Phone
(304) 854-1197
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Robert L Liston
Title
President
Phone
(304) 854-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NO NUMBER ISSUED WV Primary

Addresses

Primary practice location

10452 Veterans Memorial Hwy
Masontown, WV 26542-0000

Mailing address

PO Box 999
Oceana, WV 24870-0999
Phone (304) 253-1059

Other identifiers 1

IdentifierTypeStateIssuer
0145717000MedicaidWV

National Provider Directory

National Provider Directory

Locations

10452 Veterans Memorial Hwy
Masontown, WV 26542
Phone (304) 854-1197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1942256573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248700999",
            "telephone_number": "304-253-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 VETERANS MEMORIAL HWY",
            "city": "MASONTOWN",
            "state": "WV",
            "postal_code": "265420000",
            "telephone_number": "304-854-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DISTRICT AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "LISTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-854-5100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "NO NUMBER ISSUED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145717000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Masontown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.