1265676407 NPI number — WHITE SULPHUR SPRINGS EMS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265676407 NPI number — WHITE SULPHUR SPRINGS EMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHITE SULPHUR SPRINGS EMS
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:
WHITE SULPHUR SPRINGS RESCUE SQUAD
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:
1265676407
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P O BOX 129
Provider Second Line Business Mailing Address:
2 BOB WHITE LANE
Provider Business Mailing Address City Name:
WHITE SULPHUR SPRINGS
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
24986-0129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-536-4122
Provider Business Mailing Address Fax Number:
304-536-2426

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 BOB WHITE LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE SULPHUR SPRINGS
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24986-0129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-536-4122
Provider Business Practice Location Address Fax Number:
304-536-2426
Provider Enumeration Date:
04/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
DOLIN
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
304-536-4122

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com