KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY HEALTH AND WELLNESS BOARD
NPI 1033778642
Clinic/Center - Primary Care in Charleston, WV
About Kanawha County Emergency Ambulance Authority Health And Wellness Board NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY HEALTH AND WELLNESS BOARD (NPI 1033778642) is a healthcare organization registered as a primary care in Charleston, West Virginia and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Lance V Wheeler, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kanawha County Emergency Ambulance Authority Health And Wellness Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kanawha County Emergency Ambulance Authority Health And Wellness Board, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 51D1020152
Kanawha County Emergency Ambulance Authority · Charleston, WVFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kanawha County Emergency Ambulance Authority Health And Wellness Board's NPI number?
The NPI number for Kanawha County Emergency Ambulance Authority Health And Wellness Board is 1033778642. It was assigned to this organization in the NPPES registry on June 7, 2019. The provider is also known as KCEAA Health and Wellness Clinic.
Where is Kanawha County Emergency Ambulance Authority Health And Wellness Board located?
Kanawha County Emergency Ambulance Authority Health And Wellness Board is located at 601 Brooks St, Charleston, WV 25301. The listed phone number is (304) 346-8877.
What is Kanawha County Emergency Ambulance Authority Health And Wellness Board's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Kanawha County Emergency Ambulance Authority Health And Wellness Board enrolled in Medicare?
Yes. Kanawha County Emergency Ambulance Authority Health And Wellness Board is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kanawha County Emergency Ambulance Authority Health And Wellness Board?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kanawha County Emergency Ambulance Authority Health And Wellness Board, in Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kanawha County Emergency Ambulance Authority Health And Wellness Board hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D1020152) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kanawha County Emergency Ambulance Authority Health And Wellness Board accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Kanawha County Emergency Ambulance Authority Health And Wellness Board as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kanawha County Emergency Ambulance Authority Health And Wellness Board was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kanawha County Emergency Ambulance Authority Health And Wellness Board · NPI 1033778642
Primary Care organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since June 7, 2019.
## Identity
- **NPI:** 1033778642 (Entity type: Organization)
- **Enumerated:** June 7, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** KCEAA Health and Wellness Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Lance Wheeler, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 601 BROOKS ST, Charleston, WV 25301-1319
- **Phone:** (304) 346-8877 · **Fax:** (304) 414-5218
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033778642) · Data from the CMS NPPES public registry.