# TYLER COUNTY EMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053190165
- **Authorized official:** JIMMY LOGSAN SAILOR (DIRECTOR)
- **Authorized official phone:** (304) 652-2830

## Contact information

- **Practice address:** 242 OXFORD ST, SISTERSVILLE, WV 26175-1029
- **Practice address phone:** (304) 652-2830
- **Practice address fax:** (304) 521-1576
- **Mailing address:** 242 OXFORD ST, SISTERSVILLE, WV 26175-1029
- **Mailing address phone:** (304) 652-2830
- **Mailing address fax:** (304) 521-1576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 09/27/2023
- **Last updated:** 09/27/2023