BOONE COUNTY AMBULANCE AUTHORITY NPI 1124017637

NPI Information

  • NPI: 1124017637
  • Provider Name: BOONE COUNTY AMBULANCE AUTHORITY
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • CLIA Number: 51D0908983
  • Address: 1 EMS CIRCLE
    RACINE, WV
    ZIP 25165
  • Phone: (304) 837-3911

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NPI Details

BOONE COUNTY AMBULANCE AUTHORITY is an ambulance in Racine, WV. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). BOONE COUNTY AMBULANCE AUTHORITY NPI is 1124017637. The provider is registered as an organization entity type.

The provider's business location address is:

1 EMS CIRCLE
RACINE, WV
ZIP 25165-159
Phone: (304) 837-3911
Fax: (304) 837-3913

The provider's authorized official is Joseph Smith .
The authorized official title is Director and has the following contact phone number (304) 837-3911.

The CLIA number assigned to this NPI record is 51D0908983 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
  • Specialty care transport (sct) (HCPCS:A0434)
  • Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)
  • Advanced life support, level 2 (als 2) (HCPCS:A0433)

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/24/2024.

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
1341600000XAmbulanceWEST VIRGINIANo
2341600000XAmbulanceWVEMSWEST VIRGINIANo
3341600000XAmbulanceYes

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
1001705393OTHERWEST VIRGINIAHIGHMARK WV
2590011860OTHERWEST VIRGINIARAILROAD MEDICARE
30145756000MEDICAIDWEST VIRGINIA
4001705393OTHERWEST VIRGINIABC

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: 11/21/2025

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