MEDICARE: COUNTY OF CABELL

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	20602	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1026154	OTHER	WV	WORKERS COMP ID#
2	1257996	OTHER		UNITED MINE WORKERS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000212987	OTHER	WV	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	269908	OTHER	WV	FEDERAL BLACK LUNG

General Provider Information

NPI Number	:	1801808456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF CABELL

Provider Business Mailing Address
First Line	:	846 8TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-2804
Country	:	US
Telephone Number	:	304-526-9797
Fax Number	:	304-526-8553

Provider Business Practice Location Address
First Line	:	846 8TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-2804
Country	:	US
Telephone Number	:	304-526-9797
Fax Number	:	304-526-8553

Authorized Official
Title or Position	:	ASSISTANT DIRECTOR
Name	:	VERONICA SWOPE
Credential	:
Telephone Number	:	304-526-9797

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	03/16/2026

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Directions to “COUNTY OF CABELL ” Practice Location

Language	Start Address	Practice Location

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