Organization
PLEASANTS COUNTY EMERGENCY AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BAKER (CHIEF)
(304) 916-0873
Entity
Organization
Contact information
Practice address
406 3RD ST, SAINT MARYS, WV 26170-1402
(304) 684-3811
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705595
BLUE CROSS
WV
01
—
080042800
BLACK LUNG
WV
05
—
0929357
—
OH
01
—
225398
CARELINK
WV
01
—
590014658
RAILROAD MEDICARE
WV
05
—
8040010000
—
WV
Enumeration date
07/18/2005
Last updated
12/12/2022
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