Wilt'S Emergency Service and Transport, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3416L0300X Issued in OR

Legal business name

WILT'S EMERGENCY SERVICE AND TRANSPORT, INC.

Practice address

1290 NE Cedar St
Roseburg, OR 97470-2016

Phone

(541) 673-0632

Fax

(541) 672-7493

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard M Wilt, OWNER

Title

President

Phone

(541) 673-0632

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• W.E.S.T. Ambulance Doing business as

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598831273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 NE CEDAR ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702016",
            "telephone_number": "541-673-0632",
            "fax_number": "541-672-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 NE CEDAR ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702016",
            "telephone_number": "541-673-0632",
            "fax_number": "541-672-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILT'S EMERGENCY SERVICE AND TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-673-0632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA DEPT. OF LABO",
            "identifier": "0086637",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285353",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QAB128",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7347272",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073073",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2476888",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9023862",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTE05630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W.E.S.T. Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Stuart Wilson
• Jennifer Ann Brough Wilson, PA
• Joshua Wilson
• Leonard Wilson, D.M.D.
• Stewart M Wilson Jr., MD
• Janice I Winstead, CADCII
• Stephanie Wirth
• Derek Wiseman, MD
• Michelle Wissel, CADC
• Linda Witbeck

• Land Ambulance in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.