Organization
KEYSER EMERGENCY MEDICAL SERVICE INC
Active
Other names
Keyser EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY D. SEE (CHIEF)
(304) 788-5314
Entity
Organization
Contact information
Practice address
236 S WATER ST, KEYSER, WV 26726-3013
(304) 788-5314
Mailing address
PO BOX 903, KEYSER, WV 26726-0903
(304) 788-5314
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
62921
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705369
BLUE CROSS BLUE SHIELD WV
WV
05
—
0145353000
—
WV
05
—
081428800
—
MD
01
—
406590150
RAILROAD MEDICARE
WV
Enumeration date
10/18/2006
Last updated
11/10/2016
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