Healthcare Provider Details

I. General information

NPI: 1245334549
Provider Name (Legal Business Name): GHENT AREA VOLUNTEER FIRE DEPT., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 FLAT TOP ROAD
GHENT WV
25843
US

IV. Provider business mailing address

PO BOX 99
GHENT WV
25843-0099
US

V. Phone/Fax

Practice location:
  • Phone: 304-787-3196
  • Fax:
Mailing address:
  • Phone: 304-787-3196
  • 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: DAVID SHREWSBERRY
Title or Position: SECRETARY TREASURER
Credential:
Phone: 304-787-3196