Provider Demographics
NPI:1407983547
Name:BELINGTON EMERGENCY SQUAD INC
Entity Type:Organization
Organization Name:BELINGTON EMERGENCY SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-823-2010
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:BELINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:26250-0922
Mailing Address - Country:US
Mailing Address - Phone:304-823-2010
Mailing Address - Fax:304-823-2792
Practice Address - Street 1:44 ELLIOT AVE
Practice Address - Street 2:
Practice Address - City:BELINGTON
Practice Address - State:WV
Practice Address - Zip Code:26250-2625
Practice Address - Country:US
Practice Address - Phone:304-823-2010
Practice Address - Fax:304-823-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWVEMS341600000X
WV341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV000226703OtherBLUE CROSS
WV0144848000Medicaid
WV088558800OtherBLACK LUNG
WV590029193OtherRAILROAD MEDICARE
WV9058621Medicare PIN