Organization Active NPI

Stat Ambulance Service

  • Land Ambulance
  • Pineville, WV
National Provider Identifier
1245224880
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1634 Issued in KY
Legal business name
STAT AMBULANCE SERVICE
Practice address
1 Park Street
Pineville, WV 24874
Phone
(304) 732-9112
Fax
(304) 732-8494
NPI assigned
Sep 9, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Christopher Jason Smyth
Title
President
Phone
(304) 732-9112

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV
Land Ambulance 3416L0300X 1647 KY
Land Ambulance 3416L0300X 1634 KY Primary
Non-emergency Medical Transport (VAN) 343900000X WV

Addresses

Primary practice location

1 Park Street
Pineville, WV 24874

Mailing address

PO Box 393
Gilbert, WV 25621-0393
Phone (304) 732-9112

Other identifiers 3

IdentifierTypeStateIssuer
8005063000MedicaidWV
000000350799OtherKYBLUE CROSS BLUE SHIELD
55000913MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245224880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "256210393",
            "telephone_number": "304-732-9112",
            "fax_number": "304-732-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK STREET",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-9112",
            "fax_number": "304-732-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-732-9112"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1647",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1634",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8005063000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000350799",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000913",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.