Organization
CEDAR GROVE VOL FIRE DEPT INC
Active
Organization
CEDAR GROVE VOL FIRE DEPT INC
Active
Other names
Cedar Grove Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON YOUNG (EMS DIRECTOR)
(304) 545-5001
Entity
Organization
Contact information
Practice address
306 EAST GEORGE ST, CEDAR GROVE, WV 25039
(304) 595-2244
Mailing address
306 EAST GEORGE ST, CEDAR GROVE, WV 25039
(304) 595-2244
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705367
BLUE CROSS BLUE SHIELD
WV
05
—
0145248000
—
WV
01
—
08092880
BLACK LUNG
WV
01
—
=========
ACORDIA NATIONAL-PEIA
WV
Enumeration date
01/03/2007
Last updated
03/01/2023
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