Healthcare Provider Details

I. General information

NPI: 1417946427
Provider Name (Legal Business Name): JR LAMBERT ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 E GRAVEL LN
ROMNEY WV
26757-1807
US

IV. Provider business mailing address

PO BOX 2360
BUCKHANNON WV
26201-7360
US

V. Phone/Fax

Practice location:
  • Phone: 304-822-7124
  • Fax: 304-822-8260
Mailing address:
  • Phone: 304-473-8988
  • Fax: 304-472-9849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELLE J LAMBERT
Title or Position: PRESIDENT / OWNER
Credential:
Phone: 304-822-7124