Organization
EMERGENCY SITE PROTECTION
Active
Organization
EMERGENCY SITE PROTECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD F DULANEY (AMBULANCE ADMINISTRATOR)
(304) 376-4209
Entity
Organization
Contact information
Practice address
646 HALL RD, BUCKHANNON, WV 26201-4457
(304) 473-0990
Mailing address
PO BOX 775, JANE LEW, WV 26378-0775
(304) 473-0990
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134508146-001
—
WV
Enumeration date
05/22/2015
Last updated
10/30/2015
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