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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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