Healthcare Provider Details

I. General information

NPI: 1316942329
Provider Name (Legal Business Name): RITCHIE COUNTY AMBULANCE AUTHORITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 EAST MAIN STREET
HARRISVILLE WV
26362-9201
US

IV. Provider business mailing address

403 W MYLES AVENUE
PENNSBORO WV
26415-1330
US

V. Phone/Fax

Practice location:
  • Phone: 304-643-2369
  • Fax: 304-643-5291
Mailing address:
  • Phone: 304-659-2120
  • Fax: 304-659-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHERILYN STAHLMAN
Title or Position: OFFICE MANAGER/BILLING CLERK
Credential:
Phone: 304-659-2120