Organization Active NPI

Lincoln Emergency Medical Services Inc

  • Ambulance
  • Hamlin, WV
National Provider Identifier
1891779864
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LINCOLN EMERGENCY MEDICAL SERVICES INC
Practice address
14 1St St
Hamlin, WV 25523-1162
Phone
(304) 824-7871
Fax
(304) 824-7794
NPI assigned
Dec 2, 2005
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Mrs. Trish D Watson, EMT-P
Title
Director
Phone
(304) 824-7871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

14 1St St
Hamlin, WV 25523-1162

Mailing address

PO Box 808
Winfield, WV 25213
Phone (304) 586-0771

Other identifiers 2

IdentifierTypeStateIssuer
0145622000MedicaidWV
001705380OtherWVBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101229000095 WV Part B Supplier - Ambulance Service Supplier 5092903427 Practice locations: Hamlin, WV

National Provider Directory

National Provider Directory

Locations

14 1st St
Hamlin, WV 25523
Phone (304) 824-7871

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1891779864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "25213",
            "telephone_number": "304-586-0771",
            "fax_number": "304-586-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 1ST ST",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231162",
            "telephone_number": "304-824-7871",
            "fax_number": "304-824-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TRISH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-824-7871",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145622000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "001705380",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.