Organization
FOLSOM VOLUNTEER FIRE DEPARTMENT, INC
Active
Organization
FOLSOM VOLUNTEER FIRE DEPARTMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY K. GLASSCOCK PARAMEDIC (BILLING CLERK/TREASURER)
(304) 334-5782
Entity
Organization
Contact information
Practice address
28372 SHORTLINE HWY., FOLSOM, WV 26348
(304) 334-5782
(304) 334-6992
Mailing address
28372 SHORTLINE HWY., FOLSOM, WV 26348
(304) 334-5782
(304) 334-6992
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
WV EMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705485
BLUE CROSS
WV
01
—
00290422
RAILROAD MEDICARE
WV
01
—
080060800
BLACK LUNG
WV
01
—
1065538
WV WORKERS COMP
WV
05
—
2602535
—
OH
05
—
3810000986
—
WV
01
—
P00290422
RAILROAD MEDICARE
WV
Enumeration date
12/02/2005
Last updated
04/15/2014
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