Organization
WETZEL COUNTY EMERGENCY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY COLVIN (PRESIDENT)
(304) 455-5931
Entity
Organization
Contact information
Practice address
20 EMERGENCY SERVICE LN, NEW MARTINSVILLE, WV 26155-1152
(304) 455-5931
(304) 455-2824
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000204272
BLUE CROSS BLUE SHIELD
WV
05
—
0145310001
—
WV
05
—
0596814
—
OH
01
—
081132300
BLACK LUNG
WV
05
—
1093715872
—
KY
05
—
419401200
—
MD
01
—
590012567
RAILROAD MEDICARE
WV
Enumeration date
07/22/2005
Last updated
12/12/2022
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