Organization
WEST VIRGINIA LIFELINE AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TYLER KIRK (CHIEF EXECUTIVE OFFICER)
(304) 860-8245
Entity
Organization
Contact information
Practice address
101 HELEN LN, MOUNT HOPE, WV 25880-1451
(304) 860-8245
(304) 473-8996
Mailing address
PO BOX 129, BUCKHANNON, WV 26201-0129
(304) 473-8988
(304) 473-8996
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
04/23/2025
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