Organization
SPRINGFIELD AREA RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA STEWARD (DIRECTOR)
(301) 268-3845
Entity
Organization
Contact information
Practice address
12 MARY SUE LANE, SPRINGFIELD, WV 26763-9998
(301) 268-3845
(304) 822-4710
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WVEMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705469
HIGHMARK BLUE SHIELD
WV
05
—
0145981000
—
WV
01
—
=========
TRICARE
WV
Enumeration date
05/04/2007
Last updated
11/15/2023
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