Organization
MERCY AMBULANCE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES NOLAN LEWIS (CEO)
(276) 889-3059
Entity
Organization
Contact information
Practice address
1061 E MAIN ST, LEBANON, VA 24266
(276) 889-3059
(276) 889-3026
Mailing address
PO BOX 3098, LEBANON, VA 24266
(276) 889-3059
(276) 889-3026
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS AGENCY 838
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1505557
UMWA
—
01
—
2800364
ANTHEM BCBS
—
Enumeration date
08/19/2006
Last updated
08/22/2020
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