First Light Medical Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FIRST LIGHT MEDICAL TRANSPORT LLC

Practice address

1001 Pinewood Dr
Beckley, WV 25801-2420

Phone

(304) 300-1715

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Stephen P Berella

Title

President

Phone

(304) 300-1715

Specialties & licenses 1

Addresses

Other names 1

• First Light Medical Transport, LLC Other name

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1629670062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINEWOOD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012420",
            "telephone_number": "304-300-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINEWOOD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012420",
            "telephone_number": "304-300-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "BERELLA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-300-1715"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Light Medical Transport, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen Wallace Finch, DDS
• Lakelynn Fink, FNP
• Marsha Smith Fink, MS CCCL SLP
• Peggy Lambert Fink, FNP
• Courtey Leann Finney
• First Settlement Phycial Therapy
• Kristen Grace Fisher, BA
• Tiffany Fisher
• Joanna Fitzpatrick, MS, CCC-SLP
• Carl Fitzwater, PHARMD

• Non-emergency Medical Transport (VAN) in Beckley, WV
• Providers in Beckley, WV by specialty
• Non-emergency Medical Transport (VAN) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.