Organization
BRUCETON MILL COMMUNITY AMBULANCE, INC.
Active
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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