Organization
FORK RIDGE EMS INC.
Active
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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