Organization
ELK DISTRICT AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR D. WELCH (CAPTAIN)
(304) 446-5519
Entity
Organization
Contact information
Practice address
MAPLE STREET, ELK GARDEN, WV 26717
(304) 446-5519
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
—
001705364
BLUE CROSS
WV
05
—
0145035000
—
WV
01
—
080021600
BLACK LUNG
WV
01
—
1492687
UMWA
WV
05
—
451200600
—
MD
01
—
590013940
RAILROAD MEDICARE
WV
Enumeration date
07/22/2005
Last updated
03/27/2018
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