Organization Active NPI

New Cumberland Ambulance Service Inc.

  • Land Ambulance
  • New Cumberland, WV
National Provider Identifier
1992773683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NEW CUMBERLAND AMBULANCE SERVICE INC.
Practice address
205 N Chester St
New Cumberland, WV 26047-9585
Phone
(304) 564-3979
Fax
(304) 564-4004
NPI assigned
Mar 9, 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
Mr. Joseph Eugene Polgar
Title
Treasurer
Phone
(304) 564-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

205 N Chester St
New Cumberland, WV 26047-9585

Mailing address

205 N Chester St
New Cumberland, WV 26047-9585
Phone (304) 564-3979

Other identifiers 2

IdentifierTypeStateIssuer
0852788MedicaidOH
0144857000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000185 WV Part B Supplier - Ambulance Service Supplier 7214078682 Practice locations: Chester, WV; New Cumberland, WV; Weirton, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0722227New Cumberland Ambulance Service Inc205 North Chester Street, New Cumberland, WV 26047Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

125 Fox Ln
Chester, WV 26034
Phone (304) 387-0140

205 N Chester St
New Cumberlnd, WV 26047
Phone (304) 564-3979

1305 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 564-3979

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992773683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N CHESTER ST",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260479585",
            "telephone_number": "304-564-3979",
            "fax_number": "304-564-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N CHESTER ST",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260479585",
            "telephone_number": "304-564-3979",
            "fax_number": "304-564-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CUMBERLAND AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLGAR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "304-564-3979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852788",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144857000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Cumberland, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.