# AUGUSTA VOLUNTEER RESCUE SQUAD INC

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

## Provider details

- **NPI number:** 1851515373
- **Authorized official:** JAMES AYLOR (CHIEF)
- **Authorized official phone:** (304) 822-7513

## Contact information

- **Practice address:** 16745 NORTHWESTERN PIKE, AUGUSTA, WV 26704-2605
- **Practice address phone:** (304) 496-8223
- **Practice address fax:** (304) 822-7513
- **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 | — | WV | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001705383 | BLUE CROSS | WV |
| 05 | — | 0144881000 | — | WV |