Organization
BERKELEY COUNTY EMERGENCY AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRIAN COSTELLO (EMS DIRECTOR)
(304) 264-1995
Entity
Organization
Contact information
Practice address
400 WEST STEPHEN STREET, SUITE 207, MARTINSBURG, WV 25401
(304) 264-1995
(304) 267-1753
Mailing address
400 WEST STEPHEN STREET, SUITE 207, MARTINSBURG, WV 25401
(304) 264-1995
(304) 267-1753
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
NO NUMBER GIVEN
WV
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144833000
—
WV
Enumeration date
10/02/2006
Last updated
06/20/2023
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