Healthcare Provider Details

I. General information

NPI: 1992773683
Provider Name (Legal Business Name): NEW CUMBERLAND AMBULANCE SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N CHESTER ST
NEW CUMBERLAND WV
26047-9585
US

IV. Provider business mailing address

205 N CHESTER ST
NEW CUMBERLAND WV
26047-9585
US

V. Phone/Fax

Practice location:
  • Phone: 304-564-3979
  • Fax: 304-564-4004
Mailing address:
  • Phone: 304-564-3979
  • Fax: 304-564-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOSEPH EUGENE POLGAR
Title or Position: TREASURER
Credential:
Phone: 304-564-3979