MEDICARE: CASS VOLUNTEER FIRE AND RESCUE COMPANY, 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
1	341600000X	Ambulance	NO NUMBER ASSIGNED	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590014453	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	221875	OTHER	WV	CARELINK
3	000226683	OTHER	WV	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881692796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASS VOLUNTEER FIRE AND RESCUE COMPANY, INC.

Provider Business Mailing Address
First Line	:	836 4TH AVE.
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-0000
Country	:	US
Telephone Number	:	800-676-4785
Fax Number	:	304-522-4222

Provider Business Practice Location Address
First Line	:	HC RT 66
Second Line	:
City	:	CASS
State	:	WV
Zip	:	24927-0000
Country	:	US
Telephone Number	:	304-456-4118
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	JOHN REBINSKI
Credential	:
Telephone Number	:	304-456-4118

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	10/19/2012

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Directions to “CASS VOLUNTEER FIRE AND RESCUE COMPANY, INC. ” Practice Location

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