Organization
SWEET SPRINGS VALLEY VFD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMER WICKLINE (CHIEF)
(304) 772-5979
Entity
Organization
Contact information
Practice address
125 PETERS MOUNTAIN RD, SWEET SPRINGS, WV 24941-9651
(304) 772-5979
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001704941
BLUE CROSS
WV
01
—
590014447
RAILROAD MEDICARE
WV
05
—
9000055000
—
WV
Enumeration date
07/19/2005
Last updated
10/17/2012
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