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FORK RIDGE COMMUNITY VOLUNTEER FIRE NPI 1235138090


NPI Information

NPI: 1235138090
Provider Name: FORK RIDGE COMMUNITY VOLUNTEER FIRE

Doing Business As: FORK RIDGE VFD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
354 SAWMILL LN
GLEN EASTON, WV
ZIP 26039
Phone: (304) 845-3990
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FORK RIDGE COMMUNITY VOLUNTEER FIRE is a land transport ambulance in Glen Easton, WV. FORK RIDGE COMMUNITY VOLUNTEER FIRE NPI is 1235138090. The provider is registered as an organization entity type.
The provider Is Doing Business As Fork Ridge Vfd.

The provider's business location address is:

354 SAWMILL LN
GLEN EASTON, WV
ZIP 26039-547
Phone: (304) 845-3990

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 enumeration date for this NPI number is 7/14/2005 and was last updated on 6/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceWEST VIRGINIANo
2341600000XAmbulanceWV0EMSWEST VIRGINIANo
33416L0300XAmbulanceLand TransportWV0EMSWEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1590014570OTHERWEST VIRGINIARAILROAD MEDICARE
2225257OTHERWEST VIRGINIACARELINK
38002019000MEDICAIDWEST VIRGINIA
42516601MEDICAIDOHIO
59315551MEDICARE PINWEST VIRGINIA
6001705594OTHERWEST VIRGINIABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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