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Organization

PRICHARD VOLUNTEER FIRE DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOBBY ADKINS (CHIEF)
(304) 486-5051
Entity
Organization

Contact information

Practice address
4900 SMITH ST, PRICHARD, WV 25555
(304) 486-5051
(304) 486-5648
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001705358
BLUE CROSS
WV
05
0145444000
WV
01
080246000
BLACK LUNG
WV
05
2552321
OH
05
55000269
KY
01
590005206
RAILROAD MEDICARE
WV
Enumeration date
07/18/2005
Last updated
10/17/2012
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