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Organization

RYNEAL FIRE COMPANY #1

Active
Other names
Ryneal Medical Transport
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY J HELMICK (PRESIDENT)
(304) 263-2900
Entity
Organization

Contact information

Practice address
120 COMMERCE CIR, STE 200, KEARNEYSVILLE, WV 25430-4973
(304) 263-2900
(304) 263-6680
Mailing address
PO BOX 2501, MARTINSBURG, WV 25402-2501
(304) 263-2900
(304) 263-6680

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WV
3416L0300X
Land Ambulance
WV EMS SYSTEM
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000294339
MOUNTAIN STATE BLUE CROSS
WV
05
0145775000
WV
01
P00148785
PALMETTO GBA RR MEDICARE
WV
Enumeration date
09/14/2005
Last updated
09/04/2014
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