Provider Demographics
NPI:1770856882
Name:FORT ASHBY BUSINESS ASSOCIATES, INC
Entity Type:Organization
Organization Name:FORT ASHBY BUSINESS ASSOCIATES, INC
Other - Org Name:AUDIBEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:NESTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:NBC-HIS
Authorized Official - Phone:304-298-4404
Mailing Address - Street 1:PO BOX 1170
Mailing Address - Street 2:
Mailing Address - City:FORT ASHBY
Mailing Address - State:WV
Mailing Address - Zip Code:26719-1170
Mailing Address - Country:US
Mailing Address - Phone:304-298-4404
Mailing Address - Fax:
Practice Address - Street 1:1045 NORTH FORK HIGHWAY
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26847
Practice Address - Country:US
Practice Address - Phone:304-298-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV645332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies