JEFFERSON COUNTY EMERGENCY SERVICES AGENCY NPI 1144504630

NPI Information

  • NPI: 1144504630
  • Provider Name: JEFFERSON COUNTY EMERGENCY SERVICES AGENCY
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 51D2179734
  • Address: 419 16TH AVE
    RANSON, WV
    ZIP 25438
  • Phone: (304) 839-6319

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NPI Details

JEFFERSON COUNTY EMERGENCY SERVICES AGENCY is a land transport ambulance in Ranson, WV. JEFFERSON COUNTY EMERGENCY SERVICES AGENCY NPI is 1144504630. The provider is registered as an organization entity type.

The provider's business location address is:

419 16TH AVE
RANSON, WV
ZIP 25438-732
Phone: (304) 839-6319
Fax: (304) 728-6221

The provider's authorized official is Theodore Michael Sine .
The authorized official title is Director and has the following contact phone number (304) 433-5378.

The CLIA number assigned to this NPI record is 51D2179734 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2024.

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
13416L0300XAmbulanceLand TransportWV EMSWEST 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
13810022558MEDICAIDWEST 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: 11/21/2025

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