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ROANE COUNTY EMERGENCY SQUAD INC. NPI 1093860256


NPI Information

NPI: 1093860256
Provider Name: ROANE COUNTY EMERGENCY SQUAD, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 51D0908973

Address:
200 EAST MAIN STREET
SPENCER, WV
ZIP 25276
Phone: (304) 253-1059
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ROANE COUNTY EMERGENCY SQUAD, INC. is a land transport ambulance in Spencer, WV. ROANE COUNTY EMERGENCY SQUAD, INC. NPI is 1093860256. The provider is registered as an organization entity type.

The provider's business location address is:

200 EAST MAIN STREET
SPENCER, WV
ZIP 25276
Phone: (304) 253-1059

The provider's authorized official is Tim Fouty .
The authorized official title is Director Of Operations and has the following contact phone number (304) 927-3725.

The CLIA number assigned to this NPI record is 51D0908973 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 9/2/2011.


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
13416L0300XAmbulanceLand TransportNO NUMBERWEST VIRGINIAYes

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
19175601MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAMEDICARE PROVIDER NUMBER
20145739000MEDICAIDWEST 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: 5/5/2024
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