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Contact Information

TERRA ALTA COMMUNITY AMBULANCE
1124 E STATE AVE
TERRA ALTA, WV26764-1465
 Phone: 304-789-6566
 Fax: 304-789-6566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for TERRA ALTA COMMUNITY AMBULANCE

NPI Number 1619969722
LBN Legal business name TERRA ALTA COMMUNITY AMBULANCE
Authorized official MARILYN METHENY - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2005
Last updated 06/25/2009 - About 17 years ago
Identifiers
MD Medicaid 409853600
WV Medicaid 0145535000
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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