NPI 1063501153

Stafford EMS

Organisation Land Ambulance Gilbert, WV

Practice location

Address: 4071 Venus St, Gilbert, WV 25621-1098
Phone: (304) 664-2330
Mailing address: PO Box 1098, Gilbert, WV 25621-1098

Authorised official

Name: Kendell a Simpson
Title: Owner
Phone: (304) 664-2330

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 045225 (WV)

Other Ambulance providers in West Virginia →

Registry record

NPI: 1063501153
Entity type: Organization
NPI issued: 12 Oct 2006
Record last updated: 22 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.