FORK RIDGE EMS INC. (NPI# 1639347669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639347669 |
| Entity Type | Organization |
| Organization Name | FORK RIDGE EMS INC. |
| Other Organization Name | FORK RIDGE VFD AND EMS |
| Practice Address |
130 East Main Street Ansted WV 25812-0520 |
| Mailing Address |
Po Box 520 Ansted WV 25812-0520 |
| Practice Telephone | 3046585940 |
| Practice Fax Number | 3046585941 |
| Mailing Telephone | 3046585940 |
| Mailing Fax Number | 3046585941 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | MRS. DONNA LEGG (OFFICE MANAGER) |
| Authorized Official Telephone | 3046585940 |
| 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 | 8002019000 | 05 | |
| WV | RAILROAD MEDICARE | 590014570 | 01 |
| WV | HEALTH PLAN OF UPPER OHIO | AMB672 | 01 |
| WV | MOUNTAIN STATE BCBS | 002013053 | 01 |
| Other Name | Type Code |
|---|---|
| FORK RIDGE VFD AND EMS | Former Legal Business Name - Organization |
| Street Address |
130 EAST MAIN STREET |
| City | ANSTED |
| State | WV |
| Zip Code | 25812-0520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1275144420 | Kenneth Carter Marks | Home Health Aide | 27 Halstead Street, B, Ansted, WV 25812 | 2020-08-12 |
| 1548757115 | Devon Steele | Physical Therapy Assistant | 96 Tyree St, Ansted, WV 25812 | 2018-04-18 |
| 1689111247 | Natosha Wilson | Occupational Therapy Assistant | 96 Tyree Street, Ansted, WV 25812 | 2017-01-20 |
| 1588039242 | Summersville Outpatient Center | Clinic/Center | 100 Florence Street, Ansted, WV 25812 | 2015-12-07 |
| 1013140433 | Kiley Michelle Price | Occupational Therapy Assistant | 106 Tyree St., Ansted, WV 25812 | 2009-09-02 |
| 1538287594 | Erica Withrow | Occupational Therapy Assistant | Old Midland Trail-rt 60, Ansted, WV 25812 | 2007-03-27 |
| 1437274982 | Lori Ann Clark | Physical Therapy Assistant | Old Midland Trail-rt. 60, Ansted, WV 25812 | 2007-03-20 |
| 1134259278 | Shawn Edward Strickland | Physician Assistant | 101 Florence Street, Ansted, WV 25812 | 2007-03-07 |
| 1477592103 | Genesis Health Ventures of West Virginia L P | Skilled Nursing Facility | 106 Tyree Street, Ansted, WV 25812 | 2006-06-06 |
| Find all providers in zip 25812 | ||||
| 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.