Organization
WEST LINCOLN COUNTY EMERGENCY MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON LUSTER (CHIEF)
(606) 346-4519
Entity
Organization
Contact information
Practice address
4520 DANVILLE PIKE, HUSTONVILLE, KY 40437
(606) 346-4519
(606) 346-0831
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1595
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069754
ANTHEM
KY
01
—
1166535
PASSPORT
KY
01
—
2440045000
PASSPORT ADVANTAGE
KY
05
—
55069058
—
KY
05
—
56004914
—
KY
01
—
590004755
RAILROAD MEDICARE
KY
Enumeration date
07/22/2005
Last updated
02/06/2013
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