Healthcare Provider Details

I. General information

NPI: 1225183098
Provider Name (Legal Business Name): UNION AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23979 GEORGE WASHINGTON HWY
AURORA WV
26705-8019
US

IV. Provider business mailing address

PO BOX 999
OCEANA WV
24870-0999
US

V. Phone/Fax

Practice location:
  • Phone: 304-735-6881
  • Fax:
Mailing address:
  • Phone: 304-253-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ROBIN S FEATHER
Title or Position: PRESIDENT
Credential:
Phone: 304-698-5767