Lewis County Ambulance Service District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LEWIS COUNTY AMBULANCE SERVICE DISTRICT

Practice address

323 Clarksburg Rd
Vanceburg, KY 41179-7718

Phone

(606) 774-0499

Fax

(304) 521-1576

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Michael S Byble

Title

Director

Phone

(606) 774-0499

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1932954567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CLARKSBURG RD",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411797718",
            "telephone_number": "606-774-0499",
            "fax_number": "304-521-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY AMBULANCE SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "BYBLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-774-0499"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Kelley
• Amberly Kontras, PTA
• Ellen K. Kumler, M.D.
• L. Michael Bertram OD PLLC
• Victoria Anne Lawrence-Gilbert, APRN
• Lewis County Board of Education
• Lewis County Health Department
• Lewis County Health Department
• Lewis County Health Department
• Lewis County Health Department

• Land Ambulance in Vanceburg, KY
• Providers in Vanceburg, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.