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Contact Information

MASON COUNTY EMERGENCY AMBULANCE AUTHORITY
239 JACKSON AVENUE
POINT PLEASANT, WV25550
 Phone: 304-675-6134
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MASON COUNTY EMERGENCY AMBULANCE AUTHORITY

NPI Number 1013183144
LBN Legal business name MASON COUNTY EMERGENCY AMBULANCE AUTHORITY
Authorized official CHUCK BLAKE - (CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2008
Last updated 05/08/2008 - About 18 years ago
Identifiers
OH Medicaid 2196556
WV Medicaid 9000056000
WV Other 080025800 BLACK LUNG
WV Other 001705580 BLUE CROSS
WV Other 224644 CARELINK
WV Other 590013584 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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