MJS ENTERPRISES INC NPI 1073512414

NPI Information

NPI: 1073512414
Provider Name: MJS ENTERPRISES INC

Doing Business As: ST JOSEPHS AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1619 SAINT MARYS AVE
PARKERSBURG, WV
ZIP 26101
Phone: (304) 424-4670
Get Directions

MJS ENTERPRISES INC is a land transport ambulance in Parkersburg, WV. MJS ENTERPRISES INC NPI is 1073512414. The provider is registered as an organization entity type.
The provider Is Doing Business As St Josephs Ambulance Service.

The provider's business location address is:

1619 SAINT MARYS AVE
PARKERSBURG, WV
ZIP 26101-346
Phone: (304) 424-4670

The provider's authorized official is Dwane Weekley .
The authorized official title is Chief and has the following contact phone number (304) 424-4670.

The CLIA number assigned to this NPI record is 51D2179757 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 3/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport		WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	080051800	OTHER	WEST VIRGINIA	BLACK LUNG
2	=========	OTHER	WEST VIRGINIA	WV WORKERS COMP
3	612941100	OTHER	WEST VIRGINIA	FEDERAL DEPT OF LABOR
4	001705619	OTHER	WEST VIRGINIA	BLUE CROSS BLUE SHIELD
5	2439721	MEDICAID	OHIO
6	9336351	MEDICARE PIN	WEST VIRGINIA
7	=========00	OTHER	OHIO	OH WORKERS COMP
8	P00046067	OTHER	WEST VIRGINIA	RAILROAD MEDICARE
9	=========	OTHER	WEST VIRGINIA	UMWA
10	=========	OTHER	WEST VIRGINIA	TRICARE
11	55001333	MEDICAID	KENTUCKY
12	8003072000	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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