Terra Alta Community Ambulance

LBN: Terra Alta Community Ambulance
Terra Alta Community Ambulance is an health care organization with primary practice located at 1124 E State Ave , Terra Alta WV 26764-1465. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Terra Alta Community Ambulance can be contacted via phone (304) 789-6566, or through Metheny, Marilyn Joyce via phone (304) 789-6006.

Contact Information

Primary practice address
1124 E State Ave Terra Alta WV 26764-1465
Phone: (304) 789-6566
Fax: (304) 789-6566
Website:
Map and Directions
Authorized official contact:
Name: Metheny, Marilyn Joyce
Phone: (304) 789-6006

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X

Profile Details

NPI number 1619969722
LBN Legal business name Terra Alta Community Ambulance
DBA Doing business as
Authorized official Metheny, Marilyn Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 25th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619969722 NPPES
West Virginia MEDICAID 0145535000
West Virginia MEDICAID 409853600

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