Organization
SALEM VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD VAN TODD (CHIEF)
(304) 782-3333
Entity
Organization
Contact information
Practice address
60 MILL STREET, SALEM, WV 26426-9402
(304) 782-3333
(304) 782-3819
Mailing address
PO BOX 126, SALEM, WV 26426-0126
(304) 782-3333
(304) 782-3819
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
51711
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144991000
—
WV
01
—
1025862
BRICKSTREET-WORKERS COMP
WV
01
—
70922
UNICARE
WV
Enumeration date
02/07/2007
Last updated
12/21/2007
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