Provider Demographics
NPI:1700884764
Name:LITTLE LEVELS EMERGENCY AMBULANCE PATROL INC
Entity type:Organization
Organization Name:LITTLE LEVELS EMERGENCY AMBULANCE PATROL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-653-4218
Mailing Address - Street 1:836 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1407
Mailing Address - Country:US
Mailing Address - Phone:800-676-4785
Mailing Address - Fax:304-522-4222
Practice Address - Street 1:ROUTE 219
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:WV
Practice Address - Zip Code:24946
Practice Address - Country:US
Practice Address - Phone:304-653-4218
Practice Address - Fax:304-522-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001705381OtherBLUE CROSS
WV5505878800OtherWV WORKERS COMP
WV0145629000Medicaid
OH5505878800OtherOH WORKERS COMP
WV590008323OtherRAILROAD MEDICARE
OH5505878800OtherOH WORKERS COMP
WV5505878800OtherWV WORKERS COMP