# GLEN DALE VOL. FIRE DEPT, INC.

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

## Provider details

- **NPI number:** 1801892013
- **Authorized official:** NORMAN PASTORIUS (CHIEF)
- **Authorized official phone:** (304) 845-8800

## Contact information

- **Practice address:** 402 WHEELING AVE., GLEN DALE, WV 26038
- **Practice address phone:** (304) 845-8800
- **Practice address fax:** (304) 845-3475
- **Mailing address:** 836 4TH AVENUE, HUNTINGTON, WV 25701
- **Mailing address phone:** (304) 522-7533
- **Mailing address fax:** (304) 522-4222

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 10/17/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0144885000 | — | WV |
| 01 | — | 590013702 | RAILROAD MEDICARE | WV |