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Organization
BETHANY VOLUNTEER FIRE DEPARTMENT
Active
Organization
BETHANY VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SCOTT (CHIEF)
(304) 829-4504
Entity
Organization
Contact information
Practice address
2619 WEST LIBERTY ROAD, BETHANY, WV 26032
(304) 829-7744
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705335
BLUE CROSS BLUE SHIELD
WV
05
—
0145808000
—
WV
01
—
089879600
BLACK LUNG
WV
05
—
405089400
—
MD
01
—
550528612
TRICARE
WV
01
—
55052861200
OH WORKERS COMP
OH
01
—
55052861200
WV WORKERS COMP
WV
01
—
590008637
RAILROAD MEDICARE
WV
Enumeration date
07/13/2005
Last updated
08/24/2016
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