Organization
JAN-CARE AMBULANCE OF NORTH CENTRAL WV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH T CORNETT (VICE PRESIDENT)
(304) 255-2931
Entity
Organization
Contact information
Practice address
117 S FAYETTE ST, BECKLEY, WV 25801-4606
(304) 255-2931
(304) 255-0222
Mailing address
PO BOX 2414, BECKLEY, WV 25802-2414
(304) 255-2931
(304) 255-0222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705036
BCBS OF WV MARION CO
WV
01
—
001705037
BCBS OF WV MON CO
WV
01
—
001707240
BSBS WV HARRISON
WV
05
—
0018379110001
—
PA
05
—
0193927
—
OH
05
—
3810008671
—
WV
Enumeration date
11/09/2005
Last updated
11/04/2021
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