Organization Active NPI

Limestone Regional Emergency Service Inc

  • Land Ambulance
  • Moundsville, WV
National Provider Identifier
1407854466
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590008234OtherWVRAILROAD MEDICARE
221725OtherWVCARELINK
001704993OtherWVBLUE CROSS
0145882000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100929000371 WV Part B Supplier - Ambulance Service Supplier 6305962127 Practice locations: Moundsville, WV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.