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General NPI Number Information
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NPI Number | 1225184096
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Entity Type | Organization
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Legal Business Name | CALHOUN COUNTY EMS INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4450 SOUTH CALHOUN HIGHWAY
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City | GRANTSVILLE
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State | WV
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Zip | 26147-4450
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Country | US
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Telephone | 304-354-7006
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Fax | 304-354-7905
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Provider Business Mailing Address
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Address Line | PO BOX 177
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City | GRANTSVILLE
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State | WV
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Zip | 26147-0177
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Country | US
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Telephone | 304-354-7006
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Fax | 304-354-7905
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JOSHUA C JOHNSON
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Credential | PARAMEDIC
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Telephone | 304-354-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 042709
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License Number State | WV
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