Organization
AUGUSTA VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES AYLOR (CHIEF)
(304) 822-7513
Entity
Organization
Contact information
Practice address
16745 NORTHWESTERN PIKE, AUGUSTA, WV 26704-2605
(304) 496-8223
(304) 822-7513
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701
(304) 522-7533
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705383
BLUE CROSS
WV
05
—
0144881000
—
WV
Enumeration date
04/13/2007
Last updated
08/08/2016
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