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Contact Information

TAYLOR COUNTY EMERGENCY SQUAD
797 GEORGE WASHINGTON HWY.
GRAFTON, WV26354
 Phone: 304-265-0904
 Fax: 304-265-0906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for TAYLOR COUNTY EMERGENCY SQUAD

NPI # 1770795353
LBN Legal business name TAYLOR COUNTY EMERGENCY SQUAD
Authorized official GAVIN WATKINS - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 08/01/2023 - About 3 years ago
Identifiers
WV License # 54633
WV Medicaid 0145530000
WV Other 000207283 MOUNTAIN STATE BCBS
WV Other 0161950 UMWA HEALTH RETIREMENT FU
WV Other 0161950 UMWA HEALTH RETIREMENT FUN
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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