Organization
MONONGALIA EMERGENCY MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOREST WEYEN II (EXECUTIVE DIRECTOR)
(304) 285-2715
Entity
Organization
Contact information
Practice address
801 J D ANDERSON DR, MORGANTOWN, WV 26505-3477
(304) 285-2715
(304) 598-1699
Mailing address
PO BOX 502, MORGANTOWN, WV 26507-0502
(304) 285-2715
(304) 598-1699
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
WV
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145387000
—
WV
Enumeration date
08/31/2006
Last updated
02/10/2020
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