Active NPI
Jan-Care Ambulance of the Kanawha & Mid-Ohio Valleys Inc
- Land Ambulance
- Beckley, WV
National Provider Identifier
1104247113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- JAN-CARE AMBULANCE OF THE KANAWHA & MID-OHIO VALLEYS INC
- Practice address
- 117 S Fayette St
Beckley, WV 25801-4606 - Phone
- (304) 255-2931
- Fax
- (304) 255-0222
- NPI assigned
- Dec 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph T Cornett
- Title
- Vice President
- Phone
- (304) 255-2931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
117 S Fayette St
Beckley, WV 25801-4606
Mailing address
PO Box 2414
Beckley, WV 25802-2414
Phone (304) 255-2931
Other practice location 1
4821 McClung St # A
South Charleston, WV 25309-2011
Phone (304) 255-2931
Other practice location 2
1515 Camden Ave
Parkersburg, WV 26101-5540
Phone (304) 255-2931
Other practice location 3
231 Straight St
Ripley, WV 25271-1116
Phone (330) 425-5293
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0193905 | Medicaid | OH | |
| 3041056 | Other | WV | BCBS WV |
| 3910000667 | Medicaid | WV | |
| 1032235950001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140215000206 | WV | Part B Supplier - Ambulance Service Supplier | 7315176385 | Practice locations: Parkersburg, WV; Beckley, WV; South Charleston, WV; Ripley, WV |
National Provider Directory
National Provider DirectoryLocations
1515 Camden Ave
Parkersburg, WV 26101
231 Straight St
Ripley, WV 25271
Phone (330) 425-5293
4821 McClung St
#A
South Charleston, WV 25309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1104247113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2414",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258022414",
"telephone_number": "304-255-2931",
"fax_number": "304-255-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S FAYETTE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014606",
"telephone_number": "304-255-2931",
"fax_number": "304-255-0222"
}
],
"practiceLocations": [
{
"address_1": "4821 McClung St # A",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253092011",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 Camden Ave",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261015540",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "231 Straight St",
"address_purpose": "LOCATION",
"city": "Ripley",
"state": "WV",
"postal_code": "252711116",
"country_code": "US",
"telephone_number": "330-425-5293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JAN-CARE AMBULANCE OF THE KANAWHA & MID-OHIO VALLEYS INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-17",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "CORNETT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "304-255-2931",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0193905",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WV",
"identifier": "3041056",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3910000667",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032235950001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
- Jan-Care Ambulance of Fayette County Inc
- Jan-Care Ambulance of McDowell County Inc
- Jan-Care Ambulance of Nicholas Co, Inc
- Jan-Care Ambulance of North Central WV Inc
- Jan-Care Ambulance of Raleigh County Inc
- Jan-Care Ambulance of Tri State Division Inc
- Jan-Care Ambulance of Wyoming County Inc
- Diana Lynn Janney, MS,CCC-A
- Darlene Lynn Jarosz, BS
- Ashley D Jarrell, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.