# BETHANY VOLUNTEER FIRE DEPARTMENT

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

## Provider details

- **NPI number:** 1346248259
- **Authorized official:** MICHELLE SCOTT (CHIEF)
- **Authorized official phone:** (304) 829-4504

## Contact information

- **Practice address:** 2619 WEST LIBERTY ROAD, BETHANY, WV 26032
- **Practice address phone:** (304) 829-7744
- **Mailing address:** 836 4TH AVE, HUNTINGTON, WV 25701-1407
- **Mailing address phone:** (800) 676-4785
- **Mailing address fax:** (304) 522-4222

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 08/24/2016

## 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 |