Provider Demographics
NPI:1598593048
Name:BARBOUR COUNTY AMBULANCE AUTHORITY
Entity type:Organization
Organization Name:BARBOUR COUNTY AMBULANCE AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:DYLAN
Authorized Official - Last Name:OLIVETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-543-3276
Mailing Address - Street 1:26 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PHILIPPI
Mailing Address - State:WV
Mailing Address - Zip Code:26416-1198
Mailing Address - Country:US
Mailing Address - Phone:304-457-2037
Mailing Address - Fax:
Practice Address - Street 1:15394 BARBOUR COUNTY HIGHWAY
Practice Address - Street 2:
Practice Address - City:PHILIPPI
Practice Address - State:WV
Practice Address - Zip Code:26416
Practice Address - Country:US
Practice Address - Phone:304-457-2037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance