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Contact Information

DRY FORK SQUAD
ROUTE 16 MAIN ST
WAR, WV24892
 Phone: 304-875-2230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for DRY FORK SQUAD

NPI Number 1336148170
LBN Legal business name DRY FORK SQUAD
Authorized official SHEREE HICKS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2005
Last updated 04/20/2008 - About 18 years ago
Identifiers
WV Medicaid 0145171000
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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