Organization
BROOKE COUNTY AMBULANCE
Active
Organization
BROOKE COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM SCHWERTFEGER (DIRECTOR)
(304) 737-1784
Entity
Organization
Contact information
Practice address
1061 MAIN ST, FOLLANSBEE, WV 26037-1344
(304) 527-3701
(304) 737-5121
Mailing address
PO BOX 268, WELLSBURG, WV 26070-0268
(304) 737-1784
(304) 737-5121
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145167000
—
WV
01
—
0293696
OHIO MEDICAID PROVIDER
OH
01
—
44172
CARELINK
WV
01
—
AMB302
UPPER OHIO VALLEY HP
OH
Enumeration date
11/04/2005
Last updated
08/22/2020
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