MEDICARE: UNION RESCUE & MONROE TRANSP AMBULANCE SERVICE 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
1	3416L0300X	Land Ambulance		WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	407590214	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001705390	OTHER	WV	BLUE CROSS
3	610548801	OTHER	WV	BLACK LUNG
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	351292	OTHER	VA	BLUE CROSS
7	75037	OTHER	WV	CARELINK
8	06035000	OTHER	OH	OH WORKERS COMP

General Provider Information

NPI Number	:	1578563425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION RESCUE & MONROE TRANSP AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	836 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1407
Country	:	US
Telephone Number	:	800-676-4785
Fax Number	:	304-522-4222

Provider Business Practice Location Address
First Line	:	78 PUMP ST
Second Line	:
City	:	UNION
State	:	WV
Zip	:	24983
Country	:	US
Telephone Number	:	304-772-3383
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	JEANIE RATLIFF
Credential	:
Telephone Number	:	304-772-3383

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	10/17/2012

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Directions to “UNION RESCUE & MONROE TRANSP AMBULANCE SERVICE INC ” Practice Location

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