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Tyler County Emergency Squad Unit One Middlebourne INC

Ambulance, Land Transport in Middlebourne, WV. Organization (NPI-2).

NPI number1982603270
StatusActive
Last updated in NPPESSep 21, 2016

Details

NPI
1982603270
Entity type
Organization (NPI-2)
Legal business name
Tyler County Emergency Squad Unit One Middlebourne INC
Organization subpart
No
Enumeration date
Jul 19, 2005
Last updated
Sep 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3416L0300X Ambulance, Land Transport–WVYes

Practice location

100 Wilcox Avenue
Middlebourne, WV 26149-9635

Phone 304-758-4067 · Fax 304-455-4275

Mailing address

836 4th Ave
Huntington, WV 25701-1407

Phone 800-676-4785 · Fax 304-522-4222

Authorized official

Clara Wells
Chief
3047584067

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