Healthcare Provider Details

I. General information

NPI: 1326046194
Provider Name (Legal Business Name): BLUE RIDGE MT. VOLUNTEER FIRE CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 KEYES GAP RD
HARPERS FERRY WV
25425-4639
US

IV. Provider business mailing address

836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 304-728-8006
  • Fax:
Mailing address:
  • Phone: 800-676-4785
  • Fax: 304-522-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberN/A
License Number StateWV

VIII. Authorized Official

Name: TERESA EDWARDS
Title or Position: CHIEF
Credential:
Phone: 304-728-8006