Organization
DALLAS VFD INC
Active
Organization
DALLAS VFD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP SCOTT ULLOM (EMS CHIEF)
(304) 547-4999
Entity
Organization
Contact information
Practice address
7024 DALLAS PIKE, DALLAS, WV 26036
(304) 547-4999
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1768
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
WV
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001704937
HIGHMARK BCBS
—
05
—
0144989000
—
WV
01
—
9262261A
HEALTH PLAN OF UPPER
—
Enumeration date
09/15/2006
Last updated
06/17/2024
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