ROANE COUNTY EMERGENCY SQUAD, INC. (NPI# 1093860256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093860256 |
| Entity Type | Organization |
| Organization Name | ROANE COUNTY EMERGENCY SQUAD, INC. |
| Practice Address |
200 East Main Street Spencer WV 25276 |
| Mailing Address |
Po Box 999 Oceana WV 24870-0999 |
| Practice Telephone | 3042531059 |
| Mailing Telephone | 3042531059 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | TIM FOUTY (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3049273725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
NO NUMBER | WV | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0145739000 | 05 |
| Street Address |
200 EAST MAIN STREET |
| City | SPENCER |
| State | WV |
| Zip Code | 25276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019453 | Patricia Ann May | Technician | 3353 Lick Fork Road, Spencer, WV 25276 | 2017-12-20 |
| 1053518399 | Kelly Jean Fry | Naturopath | 142 East Main St., Spencer, WV 25276 | 2007-06-29 |
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1912068180 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 Locust Ave., Spencer, WV 25276 | 2006-12-12 |
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1669822011 | Julie M Morgan | Physician Assistant | 146 Williams Dr, Spencer, WV 25276 | 2016-06-16 |
| 1326331018 | David Elias Mick | Pharmacist | 218 Market St, Spencer, WV 25276 | 2011-05-27 |
| 1831228733 | Christopher Kyle Mealey | Pharmacist | 200 Hospital Drive, Spencer, WV 25276 | 2007-03-05 |
| 1679661474 | Staats Pharmacy and Health Care Inc | Durable Medical Equipment & Medical Supplies | 100 E Main St, Spencer, WV 25276 | 2006-10-10 |
| Find all providers in zip 25276 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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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.