MEDICARE: FRIENDSHIP FIRE COMPANY OF HARPERS FERRY-BOLIVAR W VA

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		WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590000349	OTHER	WV	RAILROAD MEDICARE

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
3	080244800	OTHER	WV	BLACK LUNG
4	151111	OTHER	WV	CARELINK
5	000220593	OTHER		BLUE CROSS BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447259247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDSHIP FIRE COMPANY OF HARPERS FERRY-BOLIVAR W VA

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	:	1000 WASHINGTON STREET
Second Line	:
City	:	HARPER'S FERRY
State	:	WV
Zip	:	25425
Country	:	US
Telephone Number	:	304-535-2211
Fax Number	:	304-535-1382

Authorized Official
Title or Position	:	CHIEF
Name	:	KEITH KAIN
Credential	:
Telephone Number	:	304-535-2211

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	05/31/2018

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Directions to “FRIENDSHIP FIRE COMPANY OF HARPERS FERRY-BOLIVAR W VA ” Practice Location

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