MEDICARE: COUNTY OF MASON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	004435443	OTHER	WV	HIGHMARK BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356962351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF MASON

Provider Business Mailing Address
First Line	:	836 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1407
Country	:	US
Telephone Number	:	304-521-1576
Fax Number	:	304-521-1576

Provider Business Practice Location Address
First Line	:	911 EMERGENCY DRIVE
Second Line	:
City	:	POINT PLEASANT
State	:	WV
Zip	:	25550-2005
Country	:	US
Telephone Number	:	304-675-6134
Fax Number	:	304-675-7433

Authorized Official
Title or Position	:	EMS DIRECTOR
Name	:	JAMES S. BALLARD
Credential	:
Telephone Number	:	304-993-4932

Provider Enumeration Date	:	04/30/2020
Last Update Date	:	10/18/2023

Similar Medicare Providers

1528066511 — MASON COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
Practice Location Address:

911 EMERGENCY DRIVE
PT PLEASANT, WV
25550-2005

Practice Phone: 304-675-6134
Practice Fax: 304-675-7433

1922274059 — MASON COUNTY EMERGENCY AMBULANCE AUTHORITY
Practice Location Address:

2309 JACKSON AVE
POINT PLEASANT, WV
25550-2005

Practice Phone: 304-675-6134
Practice Fax:

1730355868 — MASON COUNTY EMERGENCY AMBULANCE AUTHORITY
Practice Location Address:

2309 JACKSON AVE
POINT PLEASANT, WV
25550-2005

Practice Phone: 304-675-6134
Practice Fax:

1740297993 — DR. ANTONIO P REYES M.D.
Practice Location Address:

2005 N JEFFERSON AVE
MT PLEASANT, TX
75455-2336

Practice Phone: 903-572-4381
Practice Fax: 903-572-9575

1861877193 — DR. CAROLINE ANN NORELL OTD
Practice Location Address:

2005 PLEASANT VALLEY AVE , APT 117
OAKLAND, CA
94611-4653

Practice Phone: 520-465-0578
Practice Fax:

1790138881 — ANTONIO REYES, MD, PA
Practice Location Address:

2005 N JEFFERSON AVE
MOUNT PLEASANT, TX
75455-2336

Practice Phone: 903-572-4381
Practice Fax: 903-572-9575

Directions to “COUNTY OF MASON ” Practice Location

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