Organization
WESTON LEWIS COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C TAYLOR (COORDINATOR)
(304) 269-8207
Entity
Organization
Contact information
Practice address
155 WEST 2ND ST, WESTON, WV 26452-1665
(304) 269-8207
(304) 269-8208
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
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705357
HIGHMARK
WV
05
—
0145596000
—
WV
01
—
221371
CARELINK
WV
01
—
590029305
RR MEDICARE
WV
01
—
889369
BLACK LUNG
WV
Enumeration date
07/22/2005
Last updated
02/22/2023
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