Organization
JEFFERSON COUNTY EMERGENCY SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE MICHAEL SINE (DIRECTOR)
(304) 433-5378
Entity
Organization
Contact information
Practice address
419 16TH AVE, RANSON, WV 25438-5732
(304) 839-6319
(304) 728-6221
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
WV EMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810022558
—
WV
Enumeration date
10/04/2011
Last updated
10/04/2024
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