Organization Active NPI

Summers County EMS Inc

  • Land Ambulance
  • Hinton, WV
National Provider Identifier
1972551885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0145106000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060628000224 WV Part B Supplier - Ambulance Service Supplier 5698787018 Practice locations: Hinton, WV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.