NPI:
1144423385
Provider Name:
TRIADELPHIA VOLUNTEER FIRE DEPARTMENT INC
Former Legal Business Name: TRIADELPHIA VFD, INC.
Classification:
Ambulance - 3416L0300X
Entity Type:
Organization
Specialization: Land Transport
CLIA Number: 51D0721809
Address:
292 NATIONAL ROAD
TRIADELPHIA, WV
ZIP 26059
Phone:
(304) 547-5010
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TRIADELPHIA VOLUNTEER FIRE DEPARTMENT INC is a land transport ambulance in Triadelphia, WV. TRIADELPHIA VOLUNTEER FIRE DEPARTMENT INC NPI is 1144423385. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Triadelphia Vfd, Inc..
The provider's business location address is:
292 NATIONAL ROAD
TRIADELPHIA, WV
ZIP 26059-015
Phone: (304) 547-5010
Fax: (304) 547-4293
The provider's authorized official is Mike Wheeler .
The authorized official title is Provider Relations Specialist and has the following contact phone number (304) 521-1576.
The CLIA number assigned to this NPI record is 51D0721809 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/11/2015.