Active NPI
Stat EMS, LLC.
- Land Ambulance
- Pineville, WV
National Provider Identifier
1265719256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 15537
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120313000131 | WV | Part B Supplier - Ambulance Service Supplier | 6204095169 | Practice locations: Pineville, WV |
National Provider Directory
National Provider DirectoryLocations
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.