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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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