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NPI Code Detail

MEDICARE: QUINWOOD EMERGENCY AMBULANCE INC

MEDICARE: QUINWOOD EMERGENCY AMBULANCE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance31344WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3407590215OTHERWVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1086795400OTHERWVDEPT OF LABOR
2001704988OTHERWVMT ST BCBS
41141627OTHERWVUMWA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164459566
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUINWOOD EMERGENCY AMBULANCE INC
Provider Business Mailing Address
First Line : PO BOX 253
Second Line : 111 MCCLUNG ST
City : QUINWOOD
State : WV
Zip : 25981-0253
Country : US
Telephone Number : 304-438-9252
Fax Number : 304-438-7148
Provider Business Practice Location Address
First Line : 111 MCCLUNG ST
Second Line :
City : QUINWOOD
State : WV
Zip : 25981-0253
Country : US
Telephone Number : 304-438-9252
Fax Number : 304-438-7148
Authorized Official
Title or Position : PT ACCOUNTS
Name : MRS. SERENA J DAVIS
Credential :
Telephone Number : 304-438-9252
Provider Enumeration Date : 06/28/2006
Last Update Date : 02/21/2011

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Directions to “QUINWOOD EMERGENCY AMBULANCE INC ” Practice Location

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