CEREDO VOLUNTEER FIRE DEPARTMENT INC; NPI #1609877273

Contact Information

CEREDO VOLUNTEER FIRE DEPARTMENT INC

600 B ST.
CEREDO, WV 25507

Phone: 304-453-4898
Fax:
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 CEREDO VOLUNTEER FIRE DEPARTMENT INC

NPI Number 1609877273

LBN Legal business name CEREDO VOLUNTEER FIRE DEPARTMENT INC

Authorized official CLINTON BURLEY - (FINANCE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/09/2005

Last updated 04/20/2008 - About 18 years ago

Identifiers

WV	License #	NO NUMBER ISSUED
KY	Medicaid	55690168
OH	Medicaid	0929688
WV	Medicaid	0144586000
WV	Other	9139652	CARELINK

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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