HARRISON COUNTY EMERGENCY SQUAD; NPI #1477680528

Contact Information

HARRISON COUNTY EMERGENCY SQUAD

660 OAKMOUND RD
CLARKSBURG, WV 26301-9798

Phone: 304-623-6611
Fax: 304-623-3046
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for HARRISON COUNTY EMERGENCY SQUAD

NPI Number 1477680528

LBN Legal business name HARRISON COUNTY EMERGENCY SQUAD

Authorized official RICHARD ROCK - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/27/2007

Last updated 07/21/2022 - About 4 years ago

Identifiers

WV	License #	001
WV	Medicaid	0145316000
WV	Other	000224663	MOUNTAIN STATE

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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