Organization
LIZEMORE VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITZIE FOSTER (CHIEF)
(304) 587-6056
Entity
Organization
Contact information
Practice address
13175 CLAY HIGHWAY, LIZEMORE, WV 25125
(304) 587-6056
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
WV EMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002030667
BCBS
WV
05
—
3810012090
—
WV
Enumeration date
02/22/2008
Last updated
09/24/2012
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