Organization
MIDDLEWAY VOLUNTEER FIRE COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MOOD (PRESIDENT)
(304) 668-3203
Entity
Organization
Contact information
Practice address
6077 LEETOWN ROAD, KEARNEYSVILLE, WV 25430
(304) 668-3203
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
WVOEMS
WV
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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