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Organization

LAVALETTE VOLUNTEER FIRE DEPT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE WHEELER (PROVIDER RELATIONS SPECIALIST)
(304) 522-7533
Entity
Organization

Contact information

Practice address
4502 ROUTE 152, LAVALETTE, WV 25535
(304) 525-7156
(304) 525-2829
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701
(304) 522-7533
(304) 522-4222

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WV
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0145904000
WV
01
590013929
RAILROAD MEDICARE
WV
Enumeration date
01/30/2007
Last updated
12/01/2010
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