Organization
WETZEL COUNTY EMERGENCY AMBULANCE
Active
Other names
WETZEL COUNTY EMERGENCY AMBULANCE AUTHORITY GRANDVIEW
Organization subpart
No
Provider details
NPI number
Authorized official
JIM COLVIN (CHIEF)
(304) 455-5931
Entity
Organization
Contact information
Practice address
RR 2 BOX 83, PROCTOR, WV 26055-9716
(304) 455-5931
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 522-7533
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WV EMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705439
BLUE CROSS BLUE SHIELD
WV
05
—
0145310000
—
WV
05
—
0596814
—
OH
01
—
081132300
BLACK LUNG
WV
01
—
590012566
RAILROAD MEDICARE
WV
Enumeration date
07/12/2007
Last updated
05/13/2009
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