Organization
BLUE RIDGE MT. VOLUNTEER FIRE CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA EDWARDS (CHIEF)
(304) 728-8006
Entity
Organization
Contact information
Practice address
181 KEYES GAP RD, HARPERS FERRY, WV 25425-4639
(304) 728-8006
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
N/A
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145180000
—
WV
01
—
278115
BLUE CROSS
VA
Enumeration date
07/14/2005
Last updated
04/20/2008
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