SHAVERS FORK FIRE RESCUE INC; NPI #1205836095

Contact Information

SHAVERS FORK FIRE RESCUE INC

150 RESCUE ROAD
SNOWSHOE, WV 26209

Phone: 304-572-3473
Fax: 304-572-2400
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulance	341600000X	59	Ambulance Service Provider
Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SHAVERS FORK FIRE RESCUE INC

NPI Number 1205836095

LBN Legal business name SHAVERS FORK FIRE RESCUE INC

Authorized official BRANDON JONES - (DIRECTOR OF EMS)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/22/2005

Last updated 05/30/2025 - More than a year ago

Identifiers

WV	Medicaid	3810002251
WV	Other	001776953	BLUE CROSS
WV	Other	263174	CARELINK
WV	Other	=========	TRICARE
WV	Other	=========	UMWA
WV	Other	=========	WV WORKERS COMP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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