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NPI Code Detail

MEDICARE: WESTON LEWIS COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY

MEDICARE: WESTON LEWIS COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
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

General Provider Information

NPI Number : 1578707063
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTON LEWIS COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : WESTON
State : WV
Zip : 26452-0190
Country : US
Telephone Number : 304-269-8207
Fax Number : 304-269-8208
Provider Business Practice Location Address
First Line : 155 W 2ND ST
Second Line :
City : WESTON
State : WV
Zip : 26452-1665
Country : US
Telephone Number : 304-269-8207
Fax Number : 304-269-8208
Authorized Official
Title or Position : COORDINATOR
Name : MR. JOHN W CARROLL
Credential :
Telephone Number : 304-269-8207
Provider Enumeration Date : 04/28/2009
Last Update Date : 04/28/2009

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1922356450 — LEWIS COUNTY SENIOR CENTER
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1164840005 — LEWIS COUNTY SENIOR CITIZENS CENTER, INC.
Practice Location Address:
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Directions to “WESTON LEWIS COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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