1023537024 NPI number — COUNTY OF MARSHALL

Table of content: (NPI 1023537024)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023537024 NPI number — COUNTY OF MARSHALL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF MARSHALL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MARSHALL COUNTY COMMISSION
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023537024
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNDSVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26041-0952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-845-0482
Provider Business Mailing Address Fax Number:
304-843-1074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MARSHALL COUNTY EMS
Provider Second Line Business Practice Location Address:
14 WILSON DRIVE
Provider Business Practice Location Address City Name:
CAMERON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-686-3520
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/12/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
304-845-0482

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  72548 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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