Active NPI
Summers County EMS Inc
- Land Ambulance
- Hinton, WV
National Provider Identifier
1972551885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SUMMERS COUNTY EMS INC
- Practice address
- 266 Main St
Hinton, WV 25951-2526 - Phone
- (304) 466-0312
- Fax
- (304) 466-5206
- NPI assigned
- May 4, 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
- John Ray Crewey
- Title
- President
- Phone
- (304) 466-0312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
266 Main St
Hinton, WV 25951-2526
Mailing address
266 Main Street
Hinton, WV 25951
Phone (304) 466-0312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145106000 | 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 |
|---|---|---|---|---|
| O20060628000224 | WV | Part B Supplier - Ambulance Service Supplier | 5698787018 | Practice locations: Hinton, WV |
National Provider Directory
National Provider DirectoryLocations
266 Main St
Hinton, WV 25951
Phone (304) 466-0312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972551885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 MAIN STREET",
"city": "HINTON",
"state": "WV",
"postal_code": "25951",
"telephone_number": "304-466-0312",
"fax_number": "304-466-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 MAIN ST",
"city": "HINTON",
"state": "WV",
"postal_code": "259512526",
"telephone_number": "304-466-0312",
"fax_number": "304-466-5206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMERS COUNTY EMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CREWEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-466-0312"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145106000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.