TERRA ALTA COMMUNITY AMBULANCE
NPI 1619969722
Ambulance in Terra Alta, WV

Active since August 16, 2005CLIA 51D2180047 · Waiver
1124 E STATE AVE, TERRA ALTA, WV 26764(304) 789-6566(304) 789-6566 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terra Alta Community Ambulance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRA ALTA COMMUNITY AMBULANCE (NPI 1619969722) is a healthcare organization registered as an ambulance in Terra Alta, West Virginia and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Marilyn Joyce Metheny, Vice President, as its authorized official.

NPPES Registry Identity

NPI1619969722
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameTERRA ALTA COMMUNITY AMBULANCE
Location Address1124 E STATE AVETerra Alta, WV 26764-1465
Mailing AddressPo Box 129Buckhannon, WV 26201-0129 · (304) 473-8988 · Fax (304) 472-9849
Fax(304) 789-6566
Organization SubpartNo
Authorized OfficialMarilyn Joyce MethenyVice President · (304) 789-6006
Enumeration DateAugust 16, 2005
Last NPPES UpdateJune 25, 2009
NPI 1619969722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
1124 E STATE AVE, Terra Alta, WV 26764

Other Identifiers 4

Medicaid409853600MD
Medicare PIN9356721WV
Medicaid0145535000WV
Medicare PINP00258146WV

Accepted Insurance

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 51D2180047

Terra Alta Community Ambulance Squad, Inc · Terra Alta, WV
Active · expires Mar 4, 2028
CLIA Number51D2180047
Laboratory TypeAmbulance
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorDr. Maram Hakoum
Laboratory Phone(304) 789-6566
Laboratory LocationTerra Alta Community Ambulance Squad, Inc1124 E State Ave, Terra Alta, WV 26764
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
3,478 services168 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
94 services85 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
65 services57 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
48 services44 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ambulance (Land Transport)
1124 E STATE AVE
TERRA ALTA, WV 26764

Frequently 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 Terra Alta Community Ambulance's NPI number?

The NPI number for Terra Alta Community Ambulance is 1619969722. It was assigned to this organization in the NPPES registry on August 16, 2005.

Where is Terra Alta Community Ambulance located?

Terra Alta Community Ambulance is located at 1124 E State Ave, Terra Alta, WV 26764. The listed phone number is (304) 789-6566.

What is Terra Alta Community Ambulance's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Terra Alta Community Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2180047) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Terra Alta Community Ambulance accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Terra Alta Community Ambulance 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 Terra Alta Community Ambulance was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.