BROOKE COUNTY COMMISSION (NPI# 1336151315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336151315 |
| Entity Type | Organization |
| Organization Name | BROOKE COUNTY COMMISSION |
| Other Organization Name | BROOKE COUNTY AMBULANCE SERVICE |
| Practice Address |
54 Marshall Street Wellsburg WV 26070 |
| Mailing Address |
836 4th Ave Huntington WV 25701-1407 |
| Practice Telephone | 3047377094 |
| Practice Fax Number | 3047377251 |
| Mailing Telephone | 3045211576 |
| Mailing Fax Number | 3045211768 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | K. ROBERT FOWLER (DIRECTOR) |
| Authorized Official Telephone | 3047377094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
WVEMS | WV | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UPPER OHIO VALLEY H PLAN | AMB302 | 01 |
| WV | MT STATE BLUE CROSS | 001705606 | 01 |
| WV | 0145167000 | 05 | |
| WV | UPPER OHIO VALLEY H PLAN | AMB302 | 01 |
| Other Name | Type Code |
|---|---|
| Brooke County Ambulance Service | Doing Business As Name - Organization |
| Street Address |
54 MARSHALL STREET |
| City | WELLSBURG |
| State | WV |
| Zip Code | 26070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096913 | Chelsea M Camerlengo | Physician Assistant | 1006 Commerce Street, Wellsburg, WV 26070 | 2018-09-06 |
| 1538665948 | Pamela Sue Lizon | Pharmacist | 1612 Main Street, Wellsburg, WV 26070 | 2018-04-04 |
| 1184629404 | Amy Elizabeth Butts | Physician Assistant | 1423 Commerce Street, Wellsburg, WV 26070 | 2005-06-14 |
| 1700331360 | Loretta Lynn Sanchez | Case Manager/Care Coordinator | 2241 Main St, Wellsburg, WV 26070-1035 | 2016-08-23 |
| 1760416556 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 91 27th St, Wellsburg, WV 26070-1161 | 2006-07-10 |
| 1659726354 | Lisa Machelle Velegol | Pharmacist | 91 27th St, Wellsburg, WV 26070-1161 | 2016-04-30 |
| 1578918835 | Thomas David Faulstick | Pharmacist | 91 27th St, Wellsburg, WV 26070-1161 | 2016-04-24 |
| 1548549660 | Ross Andrew Tennant IIi | Registered Nurse | 2140 Pleasant Ave, Wellsburg, WV 26070-1244 | 2011-08-07 |
| 1912272931 | Wheeling Hospital, Inc. | Internal Medicine | 1423 Commerce St, Wellsburg, WV 26070-1320 | 2012-03-09 |
| 1053364778 | Patsy P Cipoletti | Family Medicine | 1421 Commerce Street, Wellsburg, WV 26070-1320 | 2006-05-17 |
| Find all providers in zip 26070 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828757 | Banks District Volunteer Fire Department Inc | Ambulance | 260 Rock Cave Rd, Rock Cave, WV 26234 | 2020-10-15 |
| 1093342982 | Bradley Prosperity Vol Fire Dept | Ambulance | 5950 Robert C Byrd Dr, Bradly, WV 25880 | 2020-03-23 |
| 1558835066 | County of Hampshire | Ambulance | 1160 Jersey Mountain Rd, Romney, WV 26757-5007 | 2019-01-17 |
| 1275041766 | Town of Anmoore Vol Fire Dept | Ambulance | 100 S Ash Street, Anmoore, WV 26201 | 2018-01-18 |
| 1194235226 | Emergency Sphinx Protection, LLC | Ambulance | 213 Lafayette Ave, Moundsville, WV 26041-1032 | 2017-10-03 |
| 1407375827 | County of Grant | Ambulance | 117 Virginia Ave, Petersburg, WV 26847-1713 | 2017-09-18 |
| 1023537024 | County of Marshall | Ambulance | Marshall County Ems, 14 Wilson Drive, Cameron, WV 26033 | 2017-09-12 |
| 1811411390 | Bakerton Fire Department | Ambulance | 891 Carter Ave, Harpers Ferry, WV 25425-3523 | 2017-07-27 |
| 1730625542 | Sistersville Volunteer Fire Department | Ambulance | 121 Maple Ln, Sistersville, WV 26175-1024 | 2017-01-18 |
| 1154867273 | Wilderness Volunteer Fire Department Inc | Ambulance | 119 E Mount Lookout Rd, Mount Lookout, WV 26678-9273 | 2017-01-12 |
| 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.