Active NPI
K & W Medical Services Inc
- Ambulance
- Lebanon, PA
National Provider Identifier
1174567937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 05001
- Legal business name
- K & W MEDICAL SERVICES INC
- Practice address
- 254 S 11TH St
Lebanon, PA 17042-5918 - Phone
- (717) 272-1234
- Fax
- (717) 270-2875
- NPI assigned
- Jun 15, 2006
- 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. Bryan Smith
- Title
- Executive Director
- Phone
- (717) 272-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 05001 | PA | Primary |
Addresses
Primary practice location
254 S 11TH St
Lebanon, PA 17042-5918
Mailing address
254 S 11TH St
Lebanon, PA 17042-5918
Phone (717) 272-1234
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035966 | Other | PA | GATEWAY HEALTH PLAN |
| 248062 | Other | PA | PA BLUE SHIELD HIGHMARK |
| 590013358 | Other | PA | PALMETTO RR MEDICARE |
| 0017651150006 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
254 S 11th St
Lebanon, PA 17042
Phone (484) 894-7735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1174567937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 S 11TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425918",
"telephone_number": "717-272-1234",
"fax_number": "717-270-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 S 11TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425918",
"telephone_number": "717-272-1234",
"fax_number": "717-270-2875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K & W MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "717-272-1234",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "05001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1035966",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD HIGHMARK",
"identifier": "248062",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "590013358",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017651150006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.