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NPI Code Detail

MEDICARE: FORT ASHBY VOLUNTEER FIRE CO INC

MEDICARE: FORT ASHBY VOLUNTEER FIRE CO INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulanceWV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4590014069OTHERWVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1196652OTHERWVCARELINK
2000217303OTHERWVBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356340673
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT ASHBY VOLUNTEER FIRE CO INC
Provider Business Mailing Address
First Line : 836 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1407
Country : US
Telephone Number : 800-676-4785
Fax Number : 304-522-4222
Provider Business Practice Location Address
First Line : GREEN AND WASHINGTON STREETS
Second Line :
City : FORT ASHBY
State : WV
Zip : 26719
Country : US
Telephone Number : 304-298-3358
Fax Number :
Authorized Official
Title or Position : CHIEF
Name : TAMMY BATCHELOR
Credential :
Telephone Number : 800-676-4785
Provider Enumeration Date : 07/19/2005
Last Update Date : 10/17/2012

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Directions to “FORT ASHBY VOLUNTEER FIRE CO INC ” Practice Location

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