BOONE COUNTY AMBULANCE AUTHORITY (NPI# 1124017637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124017637 |
| Entity Type | Organization |
| Organization Name | BOONE COUNTY AMBULANCE AUTHORITY |
| Practice Address |
1 Ems Circle Racine WV 25165 |
| Mailing Address |
836 4th Avenue Huntington WV 25701 |
| Practice Telephone | 3048373911 |
| Practice Fax Number | 3048373913 |
| Mailing Telephone | 3045227533 |
| Mailing Fax Number | 3045224222 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2010-11-09 |
| Authorized Official Name | MIKE WHEELER (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Telephone | 3045227533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | WV | Transportation Services | |
| Y | 341600000X | Ambulance | WVEMS | WV | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BC | 001705393 | 01 |
| WV | RAILROAD MEDICARE | 590011860 | 01 |
| WV | 0145756000 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOONE COUNTY AMBULANCE AUTHORITY | 1 Ems Cir, Racine, WV 25165 |
| Street Address |
1 EMS CIRCLE |
| City | RACINE |
| State | WV |
| Zip Code | 25165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714127 | Melchor F Vidal Md Pllc | Family Medicine | Corner Rt 3 and 94, Racine, WV 25165 | 2007-05-29 |
| 1063515054 | Melchor F Vidal | Family Medicine | 27545 Daniel Boone Prkwy, Racine, WV 25165 | 2006-09-06 |
| 1134681075 | Margaret Gail Pratt | Nurse Practitioner | 533 River Rd, Racine, WV 25165-9533 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1215537071 | Jacqueline Albino | Registered Nurse | 1431 Johnson Ave, Racine, WI 53402-2549 | 2020-10-29 |
| 1811597933 | Mount Pleasant Homes LLP | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1917 Mount Pleasant St, Racine, WI 53404-2236 | 2020-10-28 |
| 1851990436 | Bv/mstar Caledonia Tenant, LLC | Alzheimer Center (Dementia Center) | 5737 Erie St, Racine, WI 53402-1970 | 2020-10-23 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1639784366 | Kati Dobbs | In Home Supportive Care | 1226 Grove Ave, Racine, WI 53405-3043 | 2020-09-10 |
| 1932719580 | Wheaton Franciscan Healthcare Southeast Wisconsin Inc | Clinic/Center | 2333 Northwestern Ave Ste 115, Racine, WI 53404-2520 | 2020-08-07 |
| 1700494689 | Rebecca J Burchi | Student in an Organized Health Care Education/Training Program | 3004 Olive St, Racine, WI 53403-2826 | 2020-07-16 |
| 1396365128 | Paige Harpenau | Physical Therapy Assistant | 4821 Tanglewood Ave, Racine, WI 53402-2544 | 2020-04-22 |
| Find all providers in RACINE | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223069 | North Central Safety Services, LLC | Ambulance | 3204 Washington Ave Rear, Racine, WI 53405-3037 | 2018-11-12 |
| 1639244601 | Erickson-nelson Services, Inc | Ambulance | 826 S Memorial Dr, Racine, WI 53403-1339 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920161 | Ohio County Commission | Ambulance | 1500 Chapline St, Wheeling, WV 26003-3553 | 2020-01-02 |
| 1598315293 | Hundred Volunteer Fire Dept Inc. | Ambulance | 161 Pennsylvania Ave, Hundred, WV 26575-1116 | 2019-09-14 |
| 1962919019 | Calhoun Ems, Inc | Ambulance | 511 Alan B Mollohan Dr, Mount Zion, WV 26151-8501 | 2018-01-10 |
| 1417352840 | Southern Ems LLC | Ambulance | Hc 68 Box 456, Hanover, WV 24839-9731 | 2014-10-28 |
| 1437580651 | Wiley Ford Volunteer Fire Company | Ambulance | 149 Stately Street, Wiley Ford, WV 26767 | 2013-12-13 |
| 1730427469 | Teays Valley Volunteer Fire Department, Inc | Ambulance | 105 Popular Fork Rd, Scott Depot, WV 25560 | 2013-01-31 |
| 1265676407 | White Sulphur Springs Ems | Ambulance | 2 Bob White Lane, White Sulphur Springs, WV 24986-0129 | 2009-04-30 |
| 1942486766 | Fountain Volunteer Fire Company Inc | Ambulance | Rt. 46 East, Keyser, WV 26726-0056 | 2008-01-10 |
| 1811196769 | Wetzel County Emergency Ambulance | Ambulance | Rr 2 Box 83, Proctor, WV 26055-9716 | 2007-07-12 |
| 1720287675 | Wetzel County Emergency Ambulance | Ambulance | School Street, Pine Grove, WV 26419 | 2007-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.