GLEN DALE VOL. FIRE DEPT, INC.; NPI #1801892013

Contact Information

GLEN DALE VOL. FIRE DEPT, INC.

402 WHEELING AVE.
GLEN DALE, WV 26038

Phone: 304-845-8800
Fax: 304-845-3475
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 GLEN DALE VOL. FIRE DEPT, INC.

NPI # 1801892013

LBN Legal business name GLEN DALE VOL. FIRE DEPT, INC.

Authorized official NORMAN PASTORIUS - (CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/22/2005

Last updated 10/17/2012 - About 14 years ago

Identifiers

WV	License #	WVEMS
WV	Medicaid	0144885000
WV	Other	590013702	RAILROAD MEDICARE

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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