Organization
GLEN DALE VOL. FIRE DEPT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN PASTORIUS (CHIEF)
(304) 845-8800
Entity
Organization
Contact information
Practice address
402 WHEELING AVE., GLEN DALE, WV 26038
(304) 845-8800
(304) 845-3475
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701
(304) 522-7533
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WVEMS
WV
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144885000
—
WV
01
—
590013702
RAILROAD MEDICARE
WV
Enumeration date
06/22/2005
Last updated
10/17/2012
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