# BOONE COUNTY AMBULANCE AUTHORITY

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

## Provider details

- **NPI number:** 1124017637
- **Authorized official:** JOSEPH SMITH (DIRECTOR)
- **Authorized official phone:** (304) 837-3911

## Contact information

- **Practice address:** 1 EMS CIRCLE, RACINE, WV 25165-0159
- **Practice address phone:** (304) 837-3911
- **Practice address fax:** (304) 837-3913
- **Mailing address:** 836 4TH AVENUE, HUNTINGTON, WV 25701-1407
- **Mailing address phone:** (304) 521-1576
- **Mailing address fax:** (304) 521-1576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | WVEMS | WV | — |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 07/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001705393 | BC | WV |
| 05 | — | 0145756000 | — | WV |
| 01 | — | 590011860 | RAILROAD MEDICARE | WV |