Organization
JAN-CARE AMBULANCE OF RALEIGH 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 SOUTH FAYETTE STREET, BECKLEY, WV 25801-9056
(304) 255-2931
(304) 255-0222
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
—
000229636
BCBS OF WV
WV
05
—
0149686
—
OH
05
—
1032235680001
—
OH
05
—
3810008649
—
WV
Enumeration date
11/15/2005
Last updated
02/26/2025
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