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NPI Code Detail

MEDICARE: AUGUSTA VOLUNTEER RESCUE SQUAD INC

MEDICARE: AUGUSTA VOLUNTEER RESCUE SQUAD 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2001705383OTHERWVBLUE CROSS

General Provider Information

NPI Number : 1851515373
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUGUSTA VOLUNTEER RESCUE SQUAD INC
Provider Business Mailing Address
First Line : 836 4TH AVENUE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701
Country : US
Telephone Number : 304-522-7533
Fax Number : 304-522-4222
Provider Business Practice Location Address
First Line : 16745 NORTHWESTERN PIKE
Second Line :
City : AUGUSTA
State : WV
Zip : 26704-2605
Country : US
Telephone Number : 304-496-8223
Fax Number : 304-822-7513
Authorized Official
Title or Position : CHIEF
Name : JAMES AYLOR
Credential :
Telephone Number : 304-822-7513
Provider Enumeration Date : 04/13/2007
Last Update Date : 08/08/2016

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Directions to “AUGUSTA VOLUNTEER RESCUE SQUAD INC ” Practice Location

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