Keyser Emergency Medical Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

62921 Issued in WV

Legal business name

KEYSER EMERGENCY MEDICAL SERVICE, INC

Practice address

236 S Water St.
Keyser, WV 26726-3013

Phone

(304) 788-5314

NPI assigned

Oct 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deric C Haines

Title

Chief

Phone

(301) 876-3571

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Keyser EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1083795900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S WATER ST.",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263013",
            "telephone_number": "304-788-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSER EMERGENCY MEDICAL SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "DERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "301-876-3571"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "62921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590150",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081428800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD WV",
            "identifier": "001705369",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145353000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keyser EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loran Brooke Kesner
• Rhonda Lynn Kesner
• Terrellyn Noelle Kesner
• Nevaeh Keyes
• Keyser Center LLC
• Keyser Family Dentistry, PLLC
• Keyser SNF LLC
• Lorre Beth Kimble, BSW, MA, MSW
• Natasha E Kimmell
• Donnetta King

• Land Ambulance in Keyser, WV
• Providers in Keyser, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.