MEDICARE: ROWLESBURG VOL AMBULANCE SERVICE

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
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356496517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWLESBURG VOL AMBULANCE SERVICE

Provider Business Mailing Address
First Line	:	PO BOX 129
Second Line	:
City	:	BUCKHANNON
State	:	WV
Zip	:	26201
Country	:	US
Telephone Number	:	304-473-8988
Fax Number	:	304-472-9849

Provider Business Practice Location Address
First Line	:	17 CHESSIE LANE
Second Line	:
City	:	ROWLESBURG
State	:	WV
Zip	:	26425
Country	:	US
Telephone Number	:	304-454-2080
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES I TURNER
Credential	:
Telephone Number	:	304-454-2080

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/06/2010

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