Organization
CITY OF MARTINSBURG
Active
Organization
CITY OF MARTINSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JAY KNIERIEM (FIRE CHIEF)
(304) 264-2111
Entity
Organization
Contact information
Practice address
200 N RALEIGH ST, MARTINSBURG, WV 25401-2755
(304) 264-2111
(304) 521-1576
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
UNNUMBERED
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705605
BCBS
WV
05
—
8040043000
—
WV
01
—
P00048822
RAILROAD MEDICARE
WV
Enumeration date
07/03/2006
Last updated
08/20/2025
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