Provider Demographics
NPI:1992773683
Name:NEW CUMBERLAND AMBULANCE SERVICE INC.
Entity type:Organization
Organization Name:NEW CUMBERLAND AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:POLGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-564-3979
Mailing Address - Street 1:205 N CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:WV
Mailing Address - Zip Code:26047-9585
Mailing Address - Country:US
Mailing Address - Phone:304-564-3979
Mailing Address - Fax:304-564-4004
Practice Address - Street 1:205 N CHESTER ST
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:WV
Practice Address - Zip Code:26047-9585
Practice Address - Country:US
Practice Address - Phone:304-564-3979
Practice Address - Fax:304-564-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0852788Medicaid
WV0144857000Medicaid
WV9244651Medicare ID - Type Unspecified