Organization Active NPI

Jan-Care Ambulance of Fayette County Inc

  • Land Ambulance
  • Beckley, WV
National Provider Identifier
1295716900
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JAN-CARE AMBULANCE OF FAYETTE COUNTY INC
Practice address
117 S Fayette St
Beckley, WV 25801-4606
Phone
(304) 255-2931
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Mr. Joseph T Cornett
Title
Vice President
Phone
(304) 255-2931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV Primary

Addresses

Primary practice location

117 S Fayette St
Beckley, WV 25801-4606

Mailing address

PO Box 2414
Beckley, WV 25802-2414
Phone (304) 255-2931

Other practice location 1

1010 Main St E
Oak Hill, WV 25901-3128
Phone (304) 255-2931

Other practice location 2

134 4th Ave
Montgomery, WV 25136-2225
Phone (304) 255-2931

Other practice location 3

104 East Main Street
Ansted, WV 25812
Phone (304) 255-2931

Other practice location 4

215 N Court St
Fayetteville, WV 25840-1211
Phone (304) 255-2931

Other practice location 5

322 Main Street
Apt 4
Gauley Bridge, WV 25085
Phone (304) 255-2931

Other practice location 6

428 Main St
Mount Hope, WV 25880-1150
Phone (304) 255-2931

Other identifiers 4

IdentifierTypeStateIssuer
0193932MedicaidOH
001705626OtherWVBCBS OF WV
0018379110001MedicaidPA
3810008647MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061114000103 WV Part B Supplier - Ambulance Service Supplier 4688672348 Practice locations: Ansted, WV; Beckley, WV; Danese, WV; Fayetteville, WV; Gauley Bridge, WV; Montgomery, WV; Mount Hope, WV; Oak Hill, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1001911Jan Care Ambulance of Fayette Co Inc1010 East Main Street, Oak Hill, WV 25901Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

215 N Court St
Fayetteville, WV 25840
Phone (304) 574-1363

134 4th Ave
Montgomery, WV 25136

101 College Dr
Mount Hope, WV 25880
Phone (304) 877-6583

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1295716900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2414",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258022414",
            "telephone_number": "304-255-2931",
            "fax_number": "304-255-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S FAYETTE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014606",
            "telephone_number": "304-255-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Main St E",
            "address_purpose": "LOCATION",
            "city": "Oak Hill",
            "state": "WV",
            "postal_code": "259013128",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "WV",
            "postal_code": "251362225",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 East Main Street",
            "address_purpose": "LOCATION",
            "city": "Ansted",
            "state": "WV",
            "postal_code": "25812",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 N Court St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "WV",
            "postal_code": "258401211",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Main Street",
            "address_2": "Apt 4",
            "address_purpose": "LOCATION",
            "city": "Gauley Bridge",
            "state": "WV",
            "postal_code": "25085",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Main St",
            "address_purpose": "LOCATION",
            "city": "Mount Hope",
            "state": "WV",
            "postal_code": "258801150",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAN-CARE AMBULANCE OF FAYETTE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-255-2931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193932",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WV",
            "identifier": "001705626",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018379110001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008647",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.