Organization
MCDOWELL COUNTY AMBULANCE
Active
Other names
McDowell County Emergency Ambulance Service Authority, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SUE SHELTON (EXECUTIVE DIRECTOR)
(304) 436-3877
Entity
Organization
Contact information
Practice address
918 VIRGINIA AVE, WELCH, WV 24801-2814
(304) 436-3877
Mailing address
PO BOX AG, WELCH, WV 24801-3052
(304) 436-3877
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NO NUMBER ON LICENSE
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145761000
—
WV
Enumeration date
09/07/2006
Last updated
04/20/2017
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