Organization Active NPI

Lewis Ambulance Service

  • Land Ambulance
  • Wexford, PA
National Provider Identifier
1386778819
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03302 Issued in PA
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

Updated by the provider on May 18, 2016

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120925000563 PA Part B Supplier - Ambulance Service Supplier 2567611171 Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.