MEDICARE: LIMESTONE REGIONAL EMERGENCY SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance		WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590008234	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	221725	OTHER	WV	CARELINK
3	001704993	OTHER	WV	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407854466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMESTONE REGIONAL EMERGENCY SERVICE INC

Provider Business Mailing Address
First Line	:	836 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1407
Country	:	US
Telephone Number	:	800-676-4785
Fax Number	:	304-522-4222

Provider Business Practice Location Address
First Line	:	RR 1 BOX 217A
Second Line	:
City	:	MOUNDSVILLE
State	:	WV
Zip	:	26041-9725
Country	:	US
Telephone Number	:	304-845-2303
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	HARRY GALLOWAY
Credential	:
Telephone Number	:	304-845-2303

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/19/2010

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Directions to “LIMESTONE REGIONAL EMERGENCY SERVICE INC ” Practice Location

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