Active NPI
Stat Ambulance Service
- Land Ambulance
- Pineville, WV
National Provider Identifier
1245224880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1634
- 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, 2025
- 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
- Christopher Jason Smyth
- Title
- President
- Phone
- (304) 732-9112
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8005063000 | Medicaid | WV | |
| 000000350799 | Other | KY | BLUE CROSS BLUE SHIELD |
| 55000913 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI 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.