Organization
FAIRVIEW VOLUNTEER FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE TOOTHMAN (CHIEF)
(304) 365-1917
Entity
Organization
Contact information
Practice address
409 MAIN STREET, FAIRVIEW, WV 26570
(304) 449-1904
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
WVEMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000241763
BLUE CROSS
WV
05
—
0145758000
—
WV
01
—
225669
CARELINK
WV
01
—
P000241763
RAILROAD MEDICARE
WV
Enumeration date
02/17/2006
Last updated
04/17/2009
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