Organization Active NPI

K & W Medical Services Inc

  • Ambulance
  • Lebanon, PA
National Provider Identifier
1174567937
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
05001 Issued in PA
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

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1035966OtherPAGATEWAY HEALTH PLAN
248062OtherPAPA BLUE SHIELD HIGHMARK
590013358OtherPAPALMETTO RR MEDICARE
0017651150006MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.