Active NPI
Lewis Ambulance Service
- Land Ambulance
- Wexford, PA
National Provider Identifier
1386778819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03302
- Legal business name
- LEWIS AMBULANCE SERVICE
- Practice address
- 11490 Perry Hwy Rear
Wexford, PA 15090-8718 - Phone
- (412) 231-0839
- NPI assigned
- Mar 15, 2007
- 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
- Mr. Donald Lewis
- Title
- Direct Owner
- Phone
- (412) 231-0839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03302 | PA | Primary |
Addresses
Primary practice location
11490 Perry Hwy Rear
Wexford, PA 15090-8718
Mailing address
PO Box 11055
Pittsburgh, PA 15237-0355
Phone (412) 231-0839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120925000563 | PA | Part B Supplier - Ambulance Service Supplier | 2567611171 | Practice locations: Wexford, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1386778819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11055",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152370355",
"telephone_number": "412-231-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11490 PERRY HWY REAR",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908718",
"telephone_number": "412-231-0839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "DIRECT OWNER",
"authorized_official_telephone_number": "412-231-0839",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.