Healthcare Provider Details

I. General information

NPI: 1033916655
Provider Name (Legal Business Name): MULLENS VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 EARLY ST
MULLENS WV
25882-1402
US

IV. Provider business mailing address

PO BOX 911
MABSCOTT WV
25871-0911
US

V. Phone/Fax

Practice location:
  • Phone: 304-253-1059
  • Fax:
Mailing address:
  • Phone: 304-253-1059
  • Fax: 304-253-1060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JUSTIN D ENGLAND
Title or Position: FIRE CHIEF
Credential:
Phone: 681-532-3267