Organization
INDEPENDENT FIRE COMPANY NO. 1 OF CHARLES TOWN WEST VIRGINIA
Active
Other names
Independent Fire Company No. 1
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WHEELER (PROVIDER RELATIONS SPECIALIST)
(304) 521-1576
Entity
Organization
Contact information
Practice address
200 W. SECOND AVENUE, RANSON, WV 25438-1071
(304) 725-2514
(304) 728-6006
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1768
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WVEMS
WV
341600000X
Ambulance
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000236376
BCBS
WV
05
—
0145327000
—
WV
05
—
413426500
—
MD
Enumeration date
04/13/2007
Last updated
10/05/2012
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