Organization Active NPI

Stat EMS, LLC.

  • Land Ambulance
  • Pineville, WV
National Provider Identifier
1265719256
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
15537 Issued in WV
Legal business name
STAT EMS, LLC.
Practice address
84-B Main Ave
Pineville, WV 24874
Phone
(304) 732-9116
Fax
(304) 732-9394
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Rebecca Jean Lovejoy
Title
Owner
Phone
(304) 732-9116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 15537 WV Primary
Non-emergency Medical Transport (VAN) 343900000X 15537 WV

Addresses

Primary practice location

84-B Main Ave
Pineville, WV 24874

Mailing address

PO Box 1210
Pineville, WV 24874-1210
Phone (304) 732-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000131 WV Part B Supplier - Ambulance Service Supplier 6204095169 Practice locations: Pineville, WV

National Provider Directory

National Provider Directory

Locations

84 Main Ave
Pineville, WV 24874
Phone (304) 732-9112

84 Main Ave
#B
Pineville, WV 24874
Phone (304) 732-9116

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1265719256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "248741210",
            "telephone_number": "304-732-9116",
            "fax_number": "304-732-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84-B MAIN AVE",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-9116",
            "fax_number": "304-732-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT EMS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "LOVEJOY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-732-9116"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "15537",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "15537",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 4, 2011; 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.

Verify at the official NPI Registry.