Organization
UNION RESCUE & MONROE TRANSP AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE RATLIFF (CHIEF)
(304) 772-3383
Entity
Organization
Contact information
Practice address
78 PUMP ST, UNION, WV 24983
(304) 772-3383
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
—
001705390
BLUE CROSS
WV
05
—
0145728000
—
WV
01
—
06035000
OH WORKERS COMP
OH
01
—
351292
BLUE CROSS
VA
01
—
407590214
RAILROAD MEDICARE
WV
01
—
610548801
BLACK LUNG
WV
01
—
75037
CARELINK
WV
05
—
9011285
—
VA
Enumeration date
07/21/2005
Last updated
10/17/2012
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