Active NPI
New Cumberland Ambulance Service Inc.
- Land Ambulance
- New Cumberland, WV
National Provider Identifier
1992773683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0852788 | Medicaid | OH | |
| 0144857000 | 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 |
|---|---|---|---|---|
| O20100107000185 | WV | Part B Supplier - Ambulance Service Supplier | 7214078682 | Practice locations: Chester, WV; New Cumberland, WV; Weirton, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0722227 | New Cumberland Ambulance Service Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.