TYLER COUNTY EMERGENCY SQUAD UNIT ONE MIDDLEBOURNE INC (NPI# 1982603270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982603270 |
| Entity Type | Organization |
| Organization Name | TYLER COUNTY EMERGENCY SQUAD UNIT ONE MIDDLEBOURNE INC |
| Practice Address |
100 Wilcox Avenue Middlebourne WV 26149-9635 |
| Mailing Address |
836 4th Ave Huntington WV 25701-1407 |
| Practice Telephone | 3047584067 |
| Practice Fax Number | 3044554275 |
| Mailing Telephone | 8006764785 |
| Mailing Fax Number | 3045224222 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | CLARA WELLS (CHIEF) |
| Authorized Official Telephone | 3047584067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
WV | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0145554001 | 05 | |
| OH | 0273181 | 05 | |
| WV | RAILROAD MEDICARE | 590029271 | 01 |
| WV | BLUE CROSS | 001704940 | 01 |
| WV | BLACK LUNG | 080013800 | 01 |
| WV | CARELINK | 251045 | 01 |
| WV | UMWA | 1407316 | 01 |
| Street Address |
100 WILCOX AVENUE |
| City | MIDDLEBOURNE |
| State | WV |
| Zip Code | 26149-9635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124244140 | Council of Senior Tyler Countians, Inc. | Community/Behavioral Health | 504 Cherry Street, Middlebourne, WV 26149 | 2007-04-18 |
| 1295151207 | Council of Senior Tyler Countians, Inc. | In Home Supportive Care | 504 Cherry Street, Middlebourne, WV 26149 | 2014-03-14 |
| 1891977575 | Council of Senior Tyler Countians, Inc. | Home Health | 504 Cherry Street, Middlebourne, WV 26149 | 2007-12-04 |
| 1326147216 | Pruntys Pharmacy Inc | Pharmacy | 220 Main St, Middlebourne, WV 26149 | 2006-09-21 |
| 1508465162 | Marietta Memorial Hospital of Tyler County Inc | Clinic/Center | 100 Fair St, Middlebourne, WV 26149-9525 | 2020-10-23 |
| 1538485230 | City of Sistersville | Clinic/Center | 100 Fair St, Middlebourne, WV 26149-9525 | 2010-04-20 |
| 1174718415 | Rosetta Underwood | Psychologist | 495 Park Ave, Middlebourne, WV 26149-9621 | 2007-09-10 |
| 1952385734 | Lisa M Naegele | Nurse Practitioner | 100 Fair Ave, Middlebourne, WV 26149-9622 | 2005-12-05 |
| 1639216039 | Wetzel County Hospital Association | Clinic/Center | 100 Fair Ave, Middlebourne, WV 26149-9622 | 2007-02-01 |
| 1528013703 | Clifford J Myers | Family Medicine | 100 Fair Ave, Middlebourne, WV 26149-9622 | 2006-05-24 |
| Find all providers in zip 26149 | ||||
| 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 | ||||
| City | MIDDLEBOURNE |
| Zip Code | 26149 |
Please comment or provide details below to improve the information on TYLER COUNTY EMERGENCY SQUAD UNIT ONE MIDDLEBOURNE INC.
| 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.