Healthcare Provider Details

I. General information

NPI: 1598593048
Provider Name (Legal Business Name): BARBOUR COUNTY AMBULANCE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15394 BARBOUR COUNTY HIGHWAY
PHILIPPI WV
26416
US

IV. Provider business mailing address

15394 BARBOUR COUNTY HWY
PHILIPPI WV
26416
US

V. Phone/Fax

Practice location:
  • Phone: 304-457-2037
  • Fax:
Mailing address:
  • Phone: 304-457-2037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: AARON BOSTEL
Title or Position: EMS DIRECTOR
Credential:
Phone: 207-530-7956