SHAVERS FORK FIRE RESCUE INC NPI 1205836095

NPI Information

  • NPI: 1205836095
  • Provider Name: SHAVERS FORK FIRE RESCUE INC
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • CLIA Number: 51D2179266
  • Address: 150 RESCUE ROAD
    SNOWSHOE, WV
    ZIP 26209
  • Phone: (304) 572-3473

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NPI Details

SHAVERS FORK FIRE RESCUE INC is an ambulance in Snowshoe, 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). SHAVERS FORK FIRE RESCUE INC NPI is 1205836095. The provider is registered as an organization entity type.

The provider's business location address is:

150 RESCUE ROAD
SNOWSHOE, WV
ZIP 26209
Phone: (304) 572-3473
Fax: (304) 572-2400

The provider's authorized official is Brandon Jones .
The authorized official title is Director Of Ems and has the following contact phone number (304) 661-8101.

The CLIA number assigned to this NPI record is 51D2179266 - ambulance 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)

The enumeration date for this NPI number is 7/22/2005 and was last updated on 5/30/2025.

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 TransportWEST VIRGINIANo
2341600000XAmbulanceYes

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
1001776953OTHERWEST VIRGINIABLUE CROSS
2263174OTHERWEST VIRGINIACARELINK
3=========OTHERWEST VIRGINIAWV WORKERS COMP
43810002251MEDICAIDWEST VIRGINIA
5=========OTHERWEST VIRGINIATRICARE
6=========OTHERWEST VIRGINIAUMWA

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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