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Organization

PAW PAW VOLUNTEER FIRE COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS HERRELL (CHIEF)
(304) 947-7181
Entity
Organization

Contact information

Practice address
44 MOSER AVENUE, PAW PAW, WV 25434
(304) 947-7181
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
01
001705614
BLUE CROSS
WV
05
010202248
VA
05
0145431000
WV
01
080244200
BLACK LUNG
WV
01
406590809
RAILROAD MEDICARE
WV
Enumeration date
07/18/2005
Last updated
05/22/2008
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