Provider Demographics
NPI:1740303502
Name:FLEMINGTON AREA EMERGENCY MEDICAL SERVICES INC
Entity type:Organization
Organization Name:FLEMINGTON AREA EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:GAYE
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:CHIEF, EMT
Authorized Official - Phone:304-739-4700
Mailing Address - Street 1:836 4TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1704
Mailing Address - Country:US
Mailing Address - Phone:304-521-1576
Mailing Address - Fax:304-521-1576
Practice Address - Street 1:RT 76 EAST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:WV
Practice Address - Zip Code:26347
Practice Address - Country:US
Practice Address - Phone:304-739-4700
Practice Address - Fax:304-739-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWVEMS341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001705451OtherMSBCBS
WV0145996000Medicaid
WV=========OtherTRICARE
WV=========OtherUMWA