Organization Active NPI

Jan-Care Ambulance of McDowell County Inc

  • Land Ambulance
  • Beckley, WV
National Provider Identifier
1700867447
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JAN-CARE AMBULANCE OF MCDOWELL COUNTY INC
Practice address
117 South Fayette Street
Beckley, WV 25801-9056
Phone
(304) 255-2931
Fax
(304) 255-0222
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

117 South Fayette Street
Beckley, WV 25801-9056

Mailing address

PO Box 2414
Beckley, WV 25802-2414
Phone (304) 255-2931

Other practice location 1

3200 Spring Forest Rd Ste 200
Raleigh, NC 27616-2812
Phone (304) 255-2931

Other practice location 2

1541 Glenn School Rd Ste A16
Durham, NC 27704-3545
Phone (304) 255-2931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061218000084 WV Part B Supplier - Ambulance Service Supplier 1951300144 Practice locations: Welch, WV; War, WV; Iaeger, WV; Beckley, WV
O20170410000153 NC Part B Supplier - Ambulance Service Supplier 1951300144 Practice locations: Durham, NC; Raleigh, NC
O20260529001198 VA Part B Supplier - Ambulance Service Supplier 1951300144 Practice locations: Wytheville, VA

National Provider Directory

National Provider Directory

Locations

3518 Wortham St
Durham, NC 27705
Phone (844) 526-2273

1541 Glenn School Rd
Ste A16
Durham, NC 27704
Phone 3042552931111

3200 Spring Forest Rd
Ste 200
Raleigh, NC 27616
Phone (844) 526-2273

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": "1740528000000",
    "number": "1700867447",
    "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 SOUTH FAYETTE STREET",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019056",
            "telephone_number": "304-255-2931",
            "fax_number": "304-255-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Spring Forest Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276162812",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1541 Glenn School Rd Ste A16",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277043545",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAN-CARE AMBULANCE OF MCDOWELL COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-02-26",
        "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": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 26, 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.