Organization
DODDRIDGE COUNTY AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY FLINN (EXECUTIVE DIRECTOR)
(304) 873-3650
Entity
Organization
Contact information
Practice address
118 E COURT ST, WEST UNION, WV 26456-1262
(304) 473-8988
(304) 472-9849
Mailing address
PO BOX 129, BUCKHANNON, WV 26201-0129
(304) 473-8988
(304) 472-9849
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018432
—
WV
Enumeration date
10/05/2010
Last updated
06/04/2013
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