Elk District Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ELK DISTRICT AMBULANCE SERVICE INC

Practice address

Maple Street
Elk Garden, WV 26717

Phone

(304) 446-5519

NPI assigned

Jul 22, 2005

Last updated

Mar 27, 2018By 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

Arthur D. Welch

Title

Captain

Phone

(304) 446-5519

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1952301764",
    "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",
            "telephone_number": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAPLE STREET",
            "city": "ELK GARDEN",
            "state": "WV",
            "postal_code": "26717",
            "telephone_number": "304-446-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK DISTRICT AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "304-446-5519"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty J Berg
• Ashley Nicole Blackburn
• Chasity Leanne Broadwater
• Christina Ann David
• Nevaeh Marie Gank
• Deborah Michelle Hartman
• Helen Harvey
• Julie Harvey
• Caron Loraine Jones

• Land Ambulance in Elk Garden, WV
• Providers in Elk Garden, 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 Mar 27, 2018; 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.