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Contact Information

CAPON BRIDGE RESCUE SQUAD INC
US ROUTE 50
CAPON BRIDGE, WV26711-0265
 Phone: 304-856-3109
 Fax: 304-856-3109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CAPON BRIDGE RESCUE SQUAD INC

NPI Number 1285854307
LBN Legal business name CAPON BRIDGE RESCUE SQUAD INC
Authorized official MIKE WHEELER - (PROVIDER RELATIONS SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2007
Last updated 08/14/2008 - About 18 years ago
Identifiers
WV License # WV EMS
WV Medicaid 0144690000
WV Other 083237400 BLACK LUNG
WV Other 001705463 BLUE CROSS/BLUE SHIELD
WV Other 590009398 RAILROAD MEDICARE
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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