Organization
CLAY COUNTY AMBULANCE SERVICES
Active
Other names
Clay County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE HARMON (PATIENT ACCOUNT MANAGER)
(304) 345-2312
Entity
Organization
Contact information
Practice address
464 MAIN ST., CLAY, WV 25043
(304) 587-2554
Mailing address
601 BROOKS ST, CHARLESTON, WV 25301-1319
(304) 345-2312
(304) 352-5316
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705377
BLUE CROSS BLUE SHIELD
WV
05
—
0145262000
—
WV
Enumeration date
01/31/2007
Last updated
07/21/2022
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