Active NPI
Limestone Regional Emergency Service Inc
- Land Ambulance
- Moundsville, WV
National Provider Identifier
1407854466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LIMESTONE REGIONAL EMERGENCY SERVICE INC
- Practice address
- RR 1 Box 217a
Moundsville, WV 26041-9725 - Phone
- (304) 845-2303
- NPI assigned
- Jul 13, 2005
- Last updated
- Aug 19, 2010
- 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
- Harry Galloway
- Title
- Chief
- Phone
- (304) 845-2303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
RR 1 Box 217a
Moundsville, WV 26041-9725
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (800) 676-4785
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590008234 | Other | WV | RAILROAD MEDICARE |
| 221725 | Other | WV | CARELINK |
| 001704993 | Other | WV | BLUE CROSS |
| 0145882000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100929000371 | WV | Part B Supplier - Ambulance Service Supplier | 6305962127 | Practice locations: Moundsville, WV |
National Provider Directory
National Provider DirectoryLocations
4799 Waynesburg Pike Rd
Moundsville, WV 26041
4799 Waynesburg Pike Rd
Ste A
Moundsville, WV 26041
Phone (304) 845-2303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282176000000",
"number": "1407854466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 4TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011407",
"telephone_number": "800-676-4785",
"fax_number": "304-522-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 217A",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260419725",
"telephone_number": "304-845-2303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIMESTONE REGIONAL EMERGENCY SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2010-08-19",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "304-845-2303"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590008234",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "221725",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001704993",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145882000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moundsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.