Organization
RIDGELEY VOLUNTEER FIRE COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA DIANNA-LEN MONGOLD (EMS CAPTAIN)
(240) 362-3281
Entity
Organization
Contact information
Practice address
67 POTOMAC ST, RIDGELEY, WV 26753-0619
(304) 738-8888
(304) 738-3896
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705293
BLUE CROSS
WV
05
—
0063037000
—
WV
01
—
080015200
BLACK LUNG
WV
05
—
502300900
—
MD
01
—
590012694
RAILROAD MEDICARE
WV
Enumeration date
07/19/2005
Last updated
09/16/2025
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