Organization
WAYNE VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MAYNARD (CHIEF)
(304) 272-5656
Entity
Organization
Contact information
Practice address
ROUTE 152, WAYNE, WV 25570
(304) 272-5656
(304) 272-3189
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
05
—
0145574000
—
WV
05
—
0929491
—
OH
01
—
223386
CARELINK
WV
05
—
55000863
—
KY
Enumeration date
07/21/2005
Last updated
04/20/2008
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