Provider Demographics
NPI:1891779864
Name:LINCOLN EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:LINCOLN EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISH
Authorized Official - Middle Name:D
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:304-824-7871
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:25213
Mailing Address - Country:US
Mailing Address - Phone:304-586-0771
Mailing Address - Fax:304-586-0799
Practice Address - Street 1:14 1ST ST
Practice Address - Street 2:
Practice Address - City:HAMLIN
Practice Address - State:WV
Practice Address - Zip Code:25523-1162
Practice Address - Country:US
Practice Address - Phone:304-824-7871
Practice Address - Fax:304-824-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0145622000Medicaid
WV001705380OtherBC
WV406590937Medicare PIN
WV001705380OtherBC