WEIRTON AREA AMBULANCE & RESCUE SQUAD INC; NPI #1790719631

Contact Information

WEIRTON AREA AMBULANCE & RESCUE SQUAD INC

1305 PENNSYLVANIA AVENUE
WEIRTON, WV 26062

Phone: 304-797-1233
Fax: 304-748-5445
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 WEIRTON AREA AMBULANCE & RESCUE SQUAD INC

NPI Number 1790719631

LBN Legal business name WEIRTON AREA AMBULANCE & RESCUE SQUAD INC

Authorized official PENNY BRICKER - (MEDICARE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/10/2006

Last updated 02/02/2012 - About 14 years ago

Identifiers

WV	Medicaid	014558700
OH	Other	0300810	OHIO DOW
WV	Other	000213152	MOUNTAIN STATE BLUE CROSS

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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