Organization
FOUNTAIN VOLUNTEER FIRE COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MYERS (ASST CHIEF)
(304) 788-4071
Entity
Organization
Contact information
Practice address
10707 KNOBLEY ROAD, KEYSER, WV 26726-9998
(304) 788-4071
(304) 521-1576
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
62952
WV
341600000X
Ambulance
Primary
WVEMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002032962
BCBS
WV
05
—
3810011664
—
WV
01
—
P00477560
RAILROAD MEDICARE
WV
Enumeration date
01/10/2008
Last updated
09/13/2023
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