Organization
DODDRIDGE COUNTY EMERGENCY SQUAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTOPHER JOSEPH BARRON (DIRECTOR)
(304) 873-2211
Entity
Organization
Contact information
Practice address
123 MARIE ST, WEST UNION, WV 26456-1131
(304) 873-2211
(304) 873-2222
Mailing address
PO BOX 129, BUCKHANNON, WV 26201-0129
(304) 473-8988
(304) 206-3141
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705522
BLUE CROSS
WV
05
—
0145275000
—
WV
01
—
1054237
WC WORKERS COMP
WV
01
—
221769
CARELINK
WV
01
—
590013570
RAILROAD MEDICARE
WV
Enumeration date
07/22/2005
Last updated
07/24/2020
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