MEDICARE: WEST HARDY EMERGENCY MEDICAL SERVICES, INC.

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

General Provider Information

NPI Number	:	1831766203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST HARDY EMERGENCY MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1152
Second Line	:
City	:	MOOREFIELD
State	:	WV
Zip	:	26836-6152
Country	:	US
Telephone Number	:	304-530-2100
Fax Number	:	304-530-2102

Provider Business Practice Location Address
First Line	:	325 SPRING AVE
Second Line	:
City	:	MOOREFIELD
State	:	WV
Zip	:	26836-1034
Country	:	US
Telephone Number	:	304-530-2100
Fax Number	:	304-530-2102

Authorized Official
Title or Position	:	CHIEF OF OPERATIONS
Name	:	DAVID ALLAN PRATT
Credential	:	MBA, NRP
Telephone Number	:	304-257-8856

Provider Enumeration Date	:	06/05/2021
Last Update Date	:	12/21/2024

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