Dry Fork Squad
Organization Active NPI Ambulance · War, WV
NPI 1336148170 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1336148170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- DRY FORK SQUAD
- Practice address
- Route 16 Main St
War, WV 24892 - Phone
- (304) 875-2230
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Sheree Hicks
- Title
- President
- Phone
- (304) 875-2230
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | WV | Yes |
Addresses
Primary practice location
Route 16 Main St
War, WV 24892
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (800) 676-4785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145171000 | Medicaid | WV |
Other providers in War, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.