CRAIG COUNTY - PAINT BANK VOLUNTEER FIRE COMPANY AND RESCUE SQUAD; NPI #1508022690

Contact Information

CRAIG COUNTY - PAINT BANK VOLUNTEER FIRE COMPANY AND RESCUE SQUAD

15998 PAINT BANK ROAD
PAINT BANK, VA 24131

Phone: 540-897-5200
Fax:
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 CRAIG COUNTY - PAINT BANK VOLUNTEER FIRE COMPANY AND RESCUE SQUAD

NPI Number 1508022690

LBN Legal business name CRAIG COUNTY - PAINT BANK VOLUNTEER FIRE COMPANY AND RESCUE SQUAD

Authorized official MIKE WHEELER - (PROVIDER RELATIONS SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/29/2008

Last updated 10/18/2012 - About 14 years ago

Identifiers

VA	License #	510
VA	Medicaid	1508022690
WV	Medicaid	3810014404

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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