BLUEFIELD RESCUE SQUAD INC NPI 1922031061

NPI Information

  • NPI: 1922031061
  • Provider Name: BLUEFIELD RESCUE SQUAD INC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 1900 STADIUM DR
    BLUEFIELD, WV
    ZIP 24701
  • Phone: (304) 325-8367

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NPI Details

BLUEFIELD RESCUE SQUAD INC is a land transport ambulance in Bluefield, WV. BLUEFIELD RESCUE SQUAD INC NPI is 1922031061. The provider is registered as an organization entity type.

The provider's business location address is:

1900 STADIUM DR
BLUEFIELD, WV
ZIP 24701-324
Phone: (304) 325-8367
Fax: (304) 325-7149

The provider's authorized official is Samuel Pennington .
The authorized official title is Administrator and has the following contact phone number (304) 325-9471.

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, non-emergency transport, (bls) (HCPCS:A0428)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • 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 7/9/2006 and was last updated on 11/13/2012.

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 TransportYes

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
10145962000MEDICAIDWEST VIRGINIA
2590002781MEDICARE PINGEORGIA
3000207787OTHERWEST VIRGINIABLUE CROSS
49213611MEDICARE PINOHIO

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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