Organization
DRY FORK SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREE HICKS (PRESIDENT)
(304) 875-2230
Entity
Organization
Contact information
Practice address
ROUTE 16 MAIN ST, WAR, WV 24892
(304) 875-2230
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
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145171000
—
WV
Enumeration date
07/14/2005
Last updated
04/20/2008
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