Organization
STAR CITY VOLUNTEER FIRE DEPT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE B GOODWIN (HEAD TRUSTEE)
(304) 599-1539
Entity
Organization
Contact information
Practice address
3384 UNIVERSITY AVE, STAR CITY, WV 26504
(304) 599-1539
Mailing address
PO BOX 4235, STAR CITY, WV 26504-4235
(304) 599-1539
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002575397
HIGHMARK WEST VIRGINIA
WV
05
—
3810020145
—
WV
Enumeration date
10/15/2010
Last updated
02/02/2012
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