Organization
VALLEY DISTRICT AMBULANCE INC
Active
Organization
VALLEY DISTRICT AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L LISTON (PRESIDENT)
(304) 854-5100
Entity
Organization
Contact information
Practice address
10452 VETERANS MEMORIAL HWY, MASONTOWN, WV 26542-0000
(304) 854-1197
Mailing address
PO BOX 999, OCEANA, WV 24870-0999
(304) 253-1059
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NO NUMBER ISSUED
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145717000
—
WV
Enumeration date
05/25/2006
Last updated
02/05/2014
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