Organization
TUCKER COUNTY AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA A. MAVSH (DIRECTOR)
(304) 478-2296
Entity
Organization
Contact information
Practice address
213 FIRST STREET, PARSONS, WV 26287-1046
(304) 478-2296
Mailing address
PO BOX 129, BUCKHANNON, WV 26201-0129
(304) 473-8988
(304) 206-3141
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WVEMS
WV
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000226451
BLUE CROSS
WV
01
—
002016693
BCBS
WV
05
—
01423631
—
VA
05
—
0145548000
—
WV
01
—
550559327
UMWA
WV
01
—
55055932700
WV WORKERS COMP
WV
01
—
590029302
RR MEDICARE
WV
01
—
813343
BLACK LUNG
WV
Enumeration date
06/06/2007
Last updated
12/22/2020
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