Wideners Ambulance Service, Inc
Organization Active NPI Land Ambulance · Northfork, WV
NPI 1720133986 · NPPES record last updated Sep 2, 2011
Key facts
- NPI
- 1720133986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- NO NUMBER (WV)
- Legal business name
- WIDENERS AMBULANCE SERVICE, INC
- Practice address
- 102 Main Street
Northfork, WV 24868 - Phone
- (304) 862-4339
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mike Widener
- Title
- Director
- Phone
- (304) 862-4339
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NO NUMBER | WV | Yes |
Addresses
Primary practice location
102 Main Street
Northfork, WV 24868
Mailing address
PO Box 728
Northfork, WV 24868-0728
Phone (304) 862-4339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0144749000 | Medicaid | WV |
Other providers in Northfork, WV
- Rvonne Reed
- Amanda Rose
- Brittany Danielle Rose
- Tug River Health Association, Inc
- Tug River Health Association, Inc
All providers in Northfork, WV · Land Ambulance in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2011. 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.