Organization
PRIORITY AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E BALLARD III (OWNER)
(304) 573-6904
Entity
Organization
Contact information
Practice address
23047 MIDLAND TRAIL, VICTOR, WV 25938
(304) 658-4200
(304) 652-5941
Mailing address
23047 MIDLAND TRAIL, VICTOR, WV 25938
(304) 658-4200
(304) 652-5941
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810021458
—
WV
Enumeration date
03/10/2011
Last updated
10/31/2011
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