# MONONGALIA EMERGENCY MEDICAL SERVICES INC

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

## Provider details

- **NPI number:** 1548371362
- **Authorized official:** FOREST WEYEN II (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 285-2715

## Contact information

- **Practice address:** 801 J D ANDERSON DR, MORGANTOWN, WV 26505-3477
- **Practice address phone:** (304) 285-2715
- **Practice address fax:** (304) 598-1699
- **Mailing address:** PO BOX 502, MORGANTOWN, WV 26507-0502
- **Mailing address phone:** (304) 285-2715
- **Mailing address fax:** (304) 598-1699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | WV | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 02/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0145387000 | — | WV |