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BRUCETON MILL COMMUNITY AMBULANCE INC. NPI 1780787721


NPI Information

NPI: 1780787721
Provider Name: BRUCETON MILL COMMUNITY AMBULANCE, INC.

Other Name: BRUCETON MILL AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
110 UNION STREET
BRUCETON MILLS, WV
ZIP 26525
Phone: (304) 288-3693
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BRUCETON MILL COMMUNITY AMBULANCE, INC. is a land transport ambulance in Bruceton Mills, WV. BRUCETON MILL COMMUNITY AMBULANCE, INC. NPI is 1780787721. The provider is registered as an organization entity type.
The provider Other Name Is Bruceton Mill Ambulance.

The provider's business location address is:

110 UNION STREET
BRUCETON MILLS, WV
ZIP 26525-084
Phone: (304) 288-3693

The provider's authorized official is Tammy Spiker .
The authorized official title is Administrator and has the following contact phone number (304) 288-3693.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/12/2024.


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
13416L0300XAmbulanceLand TransportYes

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
10145231000MEDICAIDWEST VIRGINIA

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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