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1528879087 NPI number — WEST VIRGINIA LIFELINE AMBULANCE SERVICES LLC

NPI Number: 1528879087
Health Care Provider/Practitioner: WEST VIRGINIA LIFELINE AMBULANCE SERVICES LLC

Information about “1528879087” NPI (WEST VIRGINIA LIFELINE AMBULANCE SERVICES LLC) exists in 1528879087 in HTML format HTML  |  1528879087 in plain Text format TXT  |  1528879087 in PDF (Portable Document Format) PDF  |  1528879087 in an XML format XML  formats.

NPI Number : 1528879087 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528879087",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST VIRGINIA LIFELINE AMBULANCE SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 129",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUCKHANNON",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26201-0129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-473-8988",
    "MailingAddressFaxNumber": "304-473-8996",
    "FirstLinePracticeLocationAddress": "101 HELEN LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT HOPE",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25880-1451",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-860-8245",
    "PracticeLocationAddressFaxNumber": "304-473-8996",
    "EnumerationDate": "01/15/2025",
    "LastUpdateDate": "04/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KIRK",
    "AuthorizedOfficialFirstName": "MATTHEW",
    "AuthorizedOfficialMiddleName": "TYLER",
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "304-860-8245",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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