Provider Demographics
NPI:1265676407
Name:WHITE SULPHUR SPRINGS EMS
Entity Type:Organization
Organization Name:WHITE SULPHUR SPRINGS EMS
Other - Org Name:WHITE SULPHUR SPRINGS RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-536-4122
Mailing Address - Street 1:P O BOX 129
Mailing Address - Street 2:2 BOB WHITE LANE
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:24986-0129
Mailing Address - Country:US
Mailing Address - Phone:304-536-4122
Mailing Address - Fax:304-536-2426
Practice Address - Street 1:2 BOB WHITE LANE
Practice Address - Street 2:
Practice Address - City:WHITE SULPHUR SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:24986-0129
Practice Address - Country:US
Practice Address - Phone:304-536-4122
Practice Address - Fax:304-536-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance