Organization
FORK RIDGE EMS INC.
Active
Other names
FORK RIDGE VFD AND EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA LEGG (OFFICE MANAGER)
(304) 658-5940
Entity
Organization
Contact information
Practice address
130 EAST MAIN STREET, ANSTED, WV 25812-0520
(304) 658-5940
(304) 658-5941
Mailing address
PO BOX 520, ANSTED, WV 25812-0520
(304) 658-5940
(304) 658-5941
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002013053
MOUNTAIN STATE BCBS
WV
01
—
590014570
RAILROAD MEDICARE
WV
05
—
8002019000
—
WV
01
—
AMB672
HEALTH PLAN OF UPPER OHIO
WV
Enumeration date
02/12/2008
Last updated
08/11/2008
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