Organization
WHITE SULPHUR SPRINGS EMERGENCY MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HAYES (CHIEF)
(304) 536-4122
Entity
Organization
Contact information
Practice address
195 BOB WHITE LANE, WHITE SULPHUR SPRINGS, WV 24986-2204
(304) 536-4122
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1768
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000229624
BLUE CROSS BLUE SHIELD
WV
05
—
010199212
—
VA
05
—
0145925000
—
WV
01
—
086641800
BLACK LUNG
WV
01
—
P00352373
RAILROAD MEDICARE
WV
Enumeration date
07/22/2005
Last updated
10/11/2012
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