Organization Active NPI

Jan-Care Ambulance of Wyoming County Inc

  • Land Ambulance
  • Beckley, WV
National Provider Identifier
1447231170
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JAN-CARE AMBULANCE OF WYOMING COUNTY INC
Practice address
117 S Fayette St
Beckley, WV 25801-4606
Phone
(304) 255-2931
Fax
(304) 255-0222
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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

11494 Main St
War, WV 24892
Phone (304) 255-2931

Other practice location 2

77 Betsy Branch Rd
Avondale, WV 24844
Phone (304) 255-2931

Other practice location 3

498 McDowell St
Welch, WV 24801-2029
Phone (304) 255-2931

Other practice location 4

555 Guyandotte Ave
Mullens, WV 25882-1115
Phone (304) 255-2931

Other practice location 5

1488 Cook Parkway
Oceana, WV 24870
Phone (304) 255-2931

Other practice location 6

18 Park Street
Suite E
Pineville, WV 24874
Phone (304) 255-2931

Other identifiers 4

IdentifierTypeStateIssuer
0193933MedicaidOH
3810008666MedicaidWV
001705491OtherWVBCBS OF WV
0018379110001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070117000120 WV Part B Supplier - Ambulance Service Supplier 7214938380 Practice locations: Avondale, WV; Welch, WV; War, WV; Pineville, WV; Oceana, WV; Mullens, WV; Beckley, 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
51D1001907Jan Care Ambulance of Wyoming Co Inc18 Park Street Suite 3, Pineville, WV 24874Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

555 Guyandotte Ave
Mullens, WV 25882
Phone (304) 255-0277

498 McDowell St
Welch, WV 24801
Phone (304) 436-4911

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": "1740960000000",
    "number": "1447231170",
    "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",
            "fax_number": "304-255-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11494 Main St",
            "address_purpose": "LOCATION",
            "city": "War",
            "state": "WV",
            "postal_code": "24892",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Betsy Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "WV",
            "postal_code": "24844",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "498 McDowell St",
            "address_purpose": "LOCATION",
            "city": "Welch",
            "state": "WV",
            "postal_code": "248012029",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Guyandotte Ave",
            "address_purpose": "LOCATION",
            "city": "Mullens",
            "state": "WV",
            "postal_code": "258821115",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1488 Cook Parkway",
            "address_purpose": "LOCATION",
            "city": "Oceana",
            "state": "WV",
            "postal_code": "24870",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Park Street",
            "address_2": "SUITE E",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "WV",
            "postal_code": "24874",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAN-CARE AMBULANCE OF WYOMING COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-03-03",
        "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": "0193933",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008666",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WV",
            "identifier": "001705491",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018379110001",
            "state": "PA"
        }
    ],
    "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 Mar 3, 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.