Legacy EMS, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LEGACY EMS, INC.

Practice address

538 Wythe Creek Rd
Poquoson, VA 23662-1569

Phone

(844) 886-3339

NPI assigned

Nov 17, 2022

Last updated

Jan 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Kennedy

Title

Ar Specialist

Phone

(337) 623-0056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Legacy EMS, Inc.

  • Land Ambulance
  • Colorado Springs, CO
  • NPI 1477280840

  4284601469

  Same PAC ID
• Med Express Ambulance Service

  • Land Ambulance
  • Melville, LA
  • NPI 1467459552

  4284601469

  Same PAC ID

Tax ID family

Legacy EMS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy EMS, Inc.

  • Land Ambulance
  • Colorado Springs, CO
  • NPI 1164260642
  NPD tax ID
• Legacy EMS, Inc.

  • Land Ambulance
  • Colorado Springs, CO
  • NPI 1477280840
  NPD tax ID

Locations

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1538878624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "MELVILLE",
            "state": "LA",
            "postal_code": "713530527",
            "telephone_number": "337-623-0056",
            "fax_number": "337-623-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621569",
            "telephone_number": "844-886-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "337-623-0056"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin Mental Health Services
• Melissa Mae Irwin
• Christina Jones, LCSW
• Woon Hi Koh, M.D.
• Kim Lang
• Jaime Lewis, DDS
• Leslie Brown Margeson, LCSW
• Janet V. Marvel, L.C.S.W.
• Bruce Andrew McEwen, D.C.
• Melonie Evans Melton, M.S.,CCC-SLP

• Land Ambulance in Poquoson, VA
• Providers in Poquoson, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.