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KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY NPI 1275690737


NPI Information

NPI: 1275690737
Provider Name: KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY

Other Name: KANAWHA COUNTY AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 51D1020152

Address:
601 BROOKS ST
CHARLESTON, WV
ZIP 25301
Phone: (304) 345-2312
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KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY is a land transport ambulance in Charleston, WV. KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY NPI is 1275690737. The provider is registered as an organization entity type.
The provider Other Name Is Kanawha County Ambulance.

The provider's business location address is:

601 BROOKS ST
CHARLESTON, WV
ZIP 25301-319
Phone: (304) 345-2312
Fax: (304) 352-5316

The provider's authorized official is Monica Leah Mason .
The authorized official title is Executive Dir, Chief Of Med Service and has the following contact phone number (304) 345-2312.

The CLIA number assigned to this NPI record is 51D1020152 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportWEST VIRGINIAYes

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: 5/5/2024

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