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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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