WIDENERS AMBULANCE SERVICE, INC; NPI #1720133986

Contact Information

WIDENERS AMBULANCE SERVICE, INC

102 MAIN STREET
NORTHFORK, WV 24868

Phone: 304-862-4339
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for WIDENERS AMBULANCE SERVICE, INC

NPI Number 1720133986

LBN Legal business name WIDENERS AMBULANCE SERVICE, INC

Authorized official MIKE WIDENER - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2007

Last updated 09/02/2011 - About 15 years ago

Identifiers

WV	License #	NO NUMBER
WV	Medicaid	0144749000

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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WIDENERS AMBULANCE SERVICE, INC

Contact Information

Specialty

Land Transport

NPI Profile & details for WIDENERS AMBULANCE SERVICE, INC

Reviews for WIDENERS AMBULANCE SERVICE, INC