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Organization
WETZEL COUNTY EMERGENCY AMBULANCE
Active
Organization
WETZEL COUNTY EMERGENCY AMBULANCE
Active
Other names
WETZEL COUNTY EMERGENCY AMBULANCE AUTHORITY GRANDVIEW
Organization subpart
No
Provider details
NPI number
Authorized official
JIM COLVIN (CHIEF)
(304) 455-5931
Entity
Organization
Contact information
Practice address
RR 2 BOX 83, PROCTOR, WV 26055-9716
(304) 455-5931
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 522-7533
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WV EMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705439
BLUE CROSS BLUE SHIELD
WV
05
—
0145310000
—
WV
05
—
0596814
—
OH
01
—
081132300
BLACK LUNG
WV
01
—
590012566
RAILROAD MEDICARE
WV
Enumeration date
07/12/2007
Last updated
05/13/2009
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