WETZEL COUNTY EMERGENCY AMBULANCE; NPI #1811196769

Contact Information

WETZEL COUNTY EMERGENCY AMBULANCE

RR 2 BOX 83
PROCTOR, WV 26055-9716

Phone: 304-455-5931
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 WETZEL COUNTY EMERGENCY AMBULANCE

NPI Number 1811196769

LBN Legal business name WETZEL COUNTY EMERGENCY AMBULANCE

Authorized official JIM COLVIN - (CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/12/2007

Last updated 05/13/2009 - About 17 years ago

Identifiers

WV	License #	WV EMS
OH	Medicaid	0596814
WV	Medicaid	0145310000
WV	Other	081132300	BLACK LUNG
WV	Other	001705439	BLUE CROSS BLUE SHIELD
WV	Other	590012566	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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