Organization
WAYNESBURG AREA RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENVER ROSE (CHIEF)
(606) 305-6339
Entity
Organization
Contact information
Practice address
16030 KY HIGHWAY 1247, WAYNESBURG, KY 40489-9704
(606) 305-6339
(606) 379-5497
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
1351
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070055
ANTHEM
KY
01
—
1188747
UMWA
KY
01
—
50007834
PASSPORT
KY
05
—
55069017
—
KY
05
—
56005713
—
KY
Enumeration date
07/22/2005
Last updated
04/20/2008
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