# SPRINGFIELD AREA RESCUE SQUAD INC

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

## Provider details

- **NPI number:** 1821200627
- **Authorized official:** DONNA STEWARD (DIRECTOR)
- **Authorized official phone:** (301) 268-3845

## Contact information

- **Practice address:** 12 MARY SUE LANE, SPRINGFIELD, WV 26763-9998
- **Practice address phone:** (301) 268-3845
- **Practice address fax:** (304) 822-4710
- **Mailing address:** 836 4TH AVE, HUNTINGTON, WV 25701-1407
- **Mailing address phone:** (304) 521-1576
- **Mailing address fax:** (304) 521-1576

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 11/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001705469 | BCBS | WV |
| 05 | — | 0145981000 | — | WV |
| 01 | — | ========= | TRICARE | WV |
