SHORT GAP VOLUNTEER FIRE COMPANY NPI 1881693166

NPI Information

  • NPI: 1881693166
  • Provider Name: SHORT GAP VOLUNTEER FIRE COMPANY
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 51D0988633
  • Address: 128 KNOBLEY ROAD
    RIDGELEY, WV
    ZIP 26753
  • Phone: (304) 726-4388

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NPI Details

SHORT GAP VOLUNTEER FIRE COMPANY is a land transport ambulance in Ridgeley, WV. SHORT GAP VOLUNTEER FIRE COMPANY NPI is 1881693166. The provider is registered as an organization entity type.

The provider's business location address is:

128 KNOBLEY ROAD
RIDGELEY, WV
ZIP 26753
Phone: (304) 726-4388
Fax: (304) 726-4521

The provider's authorized official is Lauren Trenter .
The authorized official title is Medical Chief and has the following contact phone number (304) 726-4388.

The CLIA number assigned to this NPI record is 51D0988633 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 5/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportWEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========00OTHERWEST VIRGINIAWV WORKERS COMP
2323321OTHERVIRGINIABLUE CROSS
3590014173OTHERWEST VIRGINIARAILROAD MEDICARE
4409664900MEDICAIDMARYLAND
58005010000MEDICAIDWEST VIRGINIA
6001705368OTHERWEST VIRGINIABLUE CROSS
7=========OTHERWEST VIRGINIATRICARE
89311351MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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