SOUTHERN EMS LLC NPI 1417352840

NPI Information

  • NPI: 1417352840
  • Provider Name: SOUTHERN EMS LLC
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Address: HC 68 BOX 456
    HANOVER, WV
    ZIP 24839
  • Phone: (304) 664-3848

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NPI Details

SOUTHERN EMS LLC is an ambulance in Hanover, WV. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). SOUTHERN EMS LLC NPI is 1417352840. The provider is registered as an organization entity type.

The provider's business location address is:

HC 68 BOX 456
HANOVER, WV
ZIP 24839-731
Phone: (304) 664-3848
Fax: (304) 664-3669

The provider's authorized official is Tyler Michael Blankenship .
The authorized official title is Manager and has the following contact phone number (304) 664-3848.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance2295-6669WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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