Organization
JAN-CARE AMBULANCE OF FAYETTE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH T CORNETT (VICE PRESIDENT)
(304) 255-2931
Entity
Organization
Contact information
Practice address
117 S FAYETTE ST, BECKLEY, WV 25801-4606
(304) 255-2931
Mailing address
PO BOX 2414, BECKLEY, WV 25802-2414
(304) 255-2931
(304) 255-0222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705626
BCBS OF WV
WV
05
—
0018379110001
—
PA
05
—
0193932
—
OH
05
—
3810008647
—
WV
Enumeration date
11/09/2005
Last updated
02/26/2025
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