West Virginia Lifeline Ambulance Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WEST VIRGINIA LIFELINE AMBULANCE SERVICES LLC

Practice address

101 Helen LN
Mount Hope, WV 25880-1451

Phone

(304) 860-8245

Fax

(304) 473-8996

NPI assigned

Jan 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Tyler Kirk

Title

Chief Executive Officer

Phone

(304) 860-8245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1528879087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262010129",
            "telephone_number": "304-473-8988",
            "fax_number": "304-473-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HELEN LN",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258801451",
            "telephone_number": "304-860-8245",
            "fax_number": "304-473-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA LIFELINE AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-860-8245"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Ann Vogel
• Alisa Walls
• Daven Warwick
• Jennifer Warwick
• Harlan Wesley
• April Williams
• Deborah Kay Williams
• Kalyn Williams, LPN
• Donna Yearego

• Land Ambulance in Mount Hope, WV
• Providers in Mount Hope, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.