Organization
MARION COUNTY RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE VANDETTA (ADMINISTRATOR)
(304) 363-6246
Entity
Organization
Contact information
Practice address
400 VIRGINIA AVE, FAIRMONT, WV 26554-2749
(304) 363-6246
(304) 363-0667
Mailing address
400 VIRGINIA AVE, FAIRMONT, WV 26554-2749
(304) 363-6246
(304) 363-0667
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145367000
—
WV
Enumeration date
09/07/2005
Last updated
01/20/2023
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