Organization
WEST LINCOLN COUNTY EMERGENCY MEDICAL SERVICES INC.
Active
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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