Mercy Ambulance Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS AGENCY 838

Legal business name

MERCY AMBULANCE SERVICES INC

Practice address

1061 E Main St
Lebanon, VA 24266

Phone

(276) 889-3059

Fax

(276) 889-3026

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Nolan Lewis

Title

Ceo

Phone

(276) 889-3059

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760596183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-889-3059",
            "fax_number": "276-889-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-889-3059",
            "fax_number": "276-889-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY AMBULANCE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-889-3059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": "EMS AGENCY 838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1505557",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "2800364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbigael Martin McCoy, MS, CCC-SLP
• Kelsey Wise McCoy, PA
• Kelly McDaniel, NP-C
• Rodney Hugh McMurray, LCSW
• Medical Rentals and Supplies Inc of Oakwood
• Merit Medical RHC Lebanon Inc
• Chandler Miller
• Kimberly Michelle Miller, NURSE PRACTITIONER
• Madison Paige Miller
• Shelley Renea Miller, RN MSN FNP-C

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

• 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.
• 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.