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Organization
BOONE COUNTY AMBULANCE AUTHORITY
Active
Organization
BOONE COUNTY AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SMITH (DIRECTOR)
(304) 837-3911
Entity
Organization
Contact information
Practice address
1 EMS CIRCLE, RACINE, WV 25165-0159
(304) 837-3911
(304) 837-3913
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
WVEMS
WV
341600000X
Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705393
BC
WV
05
—
0145756000
—
WV
01
—
590011860
RAILROAD MEDICARE
WV
Enumeration date
10/18/2005
Last updated
07/24/2024
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