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General NPI Number Information
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NPI Number | 1972551885
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Entity Type | Organization
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Legal Business Name | SUMMERS COUNTY EMS INC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 266 MAIN ST
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City | HINTON
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State | WV
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Zip | 25951-2526
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Country | US
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Telephone | 304-466-0312
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Fax | 304-466-5206
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Provider Business Mailing Address
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Address Line | 266 MAIN STREET
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City | HINTON
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State | WV
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Zip | 25951
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Country | US
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Telephone | 304-466-0312
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Fax | 304-466-5206
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN RAY CREWEY
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Credential |
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Telephone | 304-466-0312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | WV
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