OrganizationActive
Southern Ems LLC
NPI 1417352840 · Ambulance · Hanover, WV
Provider details
- NPI number
- 1417352840
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Tyler Blankenship, Manager(304) 664-3848
- License
- 2295-6669 (WV)
Specialties & taxonomies
Transportation Services
Practice location
Hc 68 Box 456
Hanover, WV 24839-9731
Phone: (304) 664-3848
Fax: (304) 664-3669
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 456
Justice, WV 24851-0456
Registry dates
- Enumerated
- 2014-10-28
- Last updated
- 2014-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.