Organization
SHAVERS FORK FIRE RESCUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JONES (DIRECTOR OF EMS)
(304) 661-8101
Entity
Organization
Contact information
Practice address
150 RESCUE ROAD, SNOWSHOE, WV 26209
(304) 572-3473
(304) 572-2400
Mailing address
PO BOX 388, SNOWSHOE, WV 26209-0388
(304) 572-3473
(304) 572-2400
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001776953
BLUE CROSS
WV
01
—
263174
CARELINK
WV
05
—
3810002251
—
WV
01
—
=========
WV WORKERS COMP
WV
Enumeration date
07/22/2005
Last updated
05/30/2025
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