# PETERSTOWN VOLUNTEER FIRE AND RESCUE SQUAD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peterstown Volunteer Fire & Rescue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720200991
- **Authorized official:** GERALD RAY BROWN (CHIEF)
- **Authorized official phone:** (304) 753-4343

## Contact information

- **Practice address:** 318 MARKET STREET, PETERSTOWN, WV 24963
- **Practice address phone:** (304) 753-4343
- **Practice address fax:** (304) 753-2507
- **Mailing address:** 836 4TH AVENUE, HUNTINGTON, WV 25701-1704
- **Mailing address phone:** (304) 521-1576
- **Mailing address fax:** (304) 521-1576

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 06/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001705363 | BC/BS | WV |
| 05 | — | 0145724000 | — | WV |