TAYLOR COUNTY EMERGENCY SQUAD NPI 1770795353

NPI Information

NPI: 1770795353
Provider Name: TAYLOR COUNTY EMERGENCY SQUAD
Classification: Ambulance - 341600000X
Entity Type: Organization
CLIA Number: 51D0997042
Address: 797 GEORGE WASHINGTON HWY.
GRAFTON, WV
ZIP 26354
Phone: (304) 265-0904

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NPI Details

TAYLOR COUNTY EMERGENCY SQUAD is an ambulance in Grafton, 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). TAYLOR COUNTY EMERGENCY SQUAD NPI is 1770795353. The provider is registered as an organization entity type.

The provider's business location address is:

797 GEORGE WASHINGTON HWY.
GRAFTON, WV
ZIP 26354
Phone: (304) 265-0904
Fax: (304) 265-0906

The provider's authorized official is Gavin Watkins .
The authorized official title is Director and has the following contact phone number (304) 265-0904.

The CLIA number assigned to this NPI record is 51D0997042 - 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, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/1/2023.

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	341600000X	Ambulance			WEST VIRGINIA	No
2	341600000X	Ambulance				No
3	3416L0300X	Ambulance	Land Transport			No
4	341600000X	Ambulance		54633	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	000207283	OTHER	WEST VIRGINIA	MOUNTAIN STATE BCBS
2	0145530000	MEDICAID	WEST VIRGINIA
3	0161950	OTHER	WEST VIRGINIA	UMWA HEALTH RETIREMENT FU
4	0161950	OTHER	WEST VIRGINIA	UMWA HEALTH RETIREMENT FUN

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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