MEDICARE: LITTLE LEVELS EMERGENCY AMBULANCE PATROL 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
5	590008323	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001705381	OTHER	WV	BLUE CROSS
2	5505878800	OTHER	WV	WV WORKERS COMP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5505878800	OTHER	OH	OH WORKERS COMP

General Provider Information

NPI Number	:	1700884764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE LEVELS EMERGENCY AMBULANCE PATROL 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	:	ROUTE 219
Second Line	:
City	:	HILLSBORO
State	:	WV
Zip	:	24946
Country	:	US
Telephone Number	:	304-653-4218
Fax Number	:	304-522-4222

Authorized Official
Title or Position	:	CHIEF
Name	:	DON MCNEEL
Credential	:
Telephone Number	:	304-653-4218

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	01/24/2012

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