Organization
KENOVA VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE HENDERSON (CHIEF)
(304) 453-4153
Entity
Organization
Contact information
Practice address
1600 PINE ST, KENOVA, WV 25530-1657
(304) 453-4153
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 522-7533
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145350000
—
WV
01
—
080059000
BLACK LUNG
WV
05
—
0929786
—
OH
01
—
224282
CARELINK
WV
05
—
55000301
—
KY
05
—
56018559
—
KY
01
—
590029255
RR MEDICARE
WV
Enumeration date
08/18/2005
Last updated
10/17/2012
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