HARDY COUNTY EMERGENCY AMBULANCE AUTHORITY (NPI# 1508301250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301250 |
| Entity Type | Organization |
| Organization Name | HARDY COUNTY EMERGENCY AMBULANCE AUTHORITY |
| Practice Address |
17940 State Road 55 Baker WV 26801 |
| Mailing Address |
Po Box 215 Baker WV 26801-0215 |
| Practice Telephone | 3048976050 |
| Practice Fax Number | 3048977572 |
| Mailing Telephone | 3048976050 |
| Mailing Fax Number | 3048977572 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | DEREK ALT (DIRECTOR) |
| Authorized Official Telephone | 3048976050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
61616 | WV | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARDY COUNTY EMERGENCY AMBULANCE AUTHORITY | 157 Freedom Way, Moorefield, WV 26836-1500 |
| Street Address |
17940 STATE ROAD 55 |
| City | BAKER |
| State | WV |
| Zip Code | 26801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152280 | Sylvia Coontz | Technician | 1789 State Rd 55, Apt 201, Baker, WV 26801 | 2020-07-27 |
| 1053891598 | E. A. Hawse Health Center, Inc. | Family Medicine | 238 Cougar Drive, Baker, WV 26801 | 2018-08-15 |
| 1962486738 | Donald D Harris | Physician Assistant | 17978 Sr 55, Baker, WV 26801 | 2005-12-05 |
| 1164078465 | Caitlin Johnson | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2019-08-13 |
| 1942761853 | Elizabeth Hott | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2019-03-26 |
| 1477061059 | Johna Lyn Secrist | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2018-01-17 |
| 1386167302 | Ashton Louise Humphrey | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2017-07-21 |
| 1962850669 | Stephanie Gosnell | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2016-06-03 |
| 1558765412 | Rebecca Nicole King | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2014-10-21 |
| 1922353424 | Freddy D Conley | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2012-07-20 |
| Find all providers in zip 26801 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 1275533762 | Baker Emergency Medical Service | Ambulance | 73730 Baker Blvd, Baker, CA 92309 | 2005-07-26 |
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| 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.