Organization
BRUCETON MILL COMMUNITY AMBULANCE, INC.
Active
Other names
Bruceton Mill Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SPIKER (ADMINISTRATOR)
(304) 288-3693
Entity
Organization
Contact information
Practice address
110 UNION STREET, BRUCETON MILLS, WV 26525-0084
(304) 288-3693
Mailing address
PO BOX 911, MABSCOTT, WV 25871-0911
(304) 253-1059
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145231000
—
WV
Enumeration date
09/06/2006
Last updated
01/12/2024
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