# BELINGTON EMERGENCY SQUAD INC

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

## Provider details

- **NPI number:** 1407983547
- **Authorized official:** DEREK HART (DIRECTOR)
- **Authorized official phone:** (304) 823-2010

## Contact information

- **Practice address:** 44 ELLIOT AVE, BELINGTON, WV 26250-2625
- **Practice address phone:** (304) 823-2010
- **Practice address fax:** (304) 823-2692
- **Mailing address:** PO BOX 922, BELINGTON, WV 26250-0922
- **Mailing address phone:** (304) 823-2010
- **Mailing address fax:** (304) 823-2792

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000226703 | BLUE CROSS | WV |
| 05 | — | 0144848000 | — | WV |
| 01 | — | 088558800 | BLACK LUNG | WV |
| 01 | — | 590029193 | RAILROAD MEDICARE | WV |