Healthcare Provider Details

I. General information

NPI: 1922038215
Provider Name (Legal Business Name): MORGAN COUNTY RESCUE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1258 VALLEY RD
BERKELEY SPRINGS WV
25411-4800
US

IV. Provider business mailing address

1258 VALLEY RD
BERKELEY SPRINGS WV
25411-4800
US

V. Phone/Fax

Practice location:
  • Phone: 304-258-4594
  • Fax: 304-258-6218
Mailing address:
  • Phone: 304-258-4594
  • Fax: 304-258-6218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number049620
License Number StateWV

VIII. Authorized Official

Name: RENEA M STANSBURY
Title or Position: FINANCIAL/PERSONNEL DIRECTOR
Credential:
Phone: 304-258-4594