Organization
MOUNTAINEER AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE HARDESTY (BOARD OF DIRECTORS SECRETARY)
(304) 892-3202
Entity
Organization
Contact information
Practice address
RR 1 BOX 248, TUNNELTON, WV 26444-9745
(304) 253-1059
Mailing address
PO BOX 999, OCEANA, WV 24870-0999
(304) 253-1059
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NO NUMBER
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145398000
—
WV
Enumeration date
01/23/2007
Last updated
09/02/2011
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