Organization · Type 2 NPI

Southern Clay County Volunteers

Land Ambulance · Lizemore, WV

NPI number 1417201088 Active

Practice location

13175 Clay Highway
Lizemore, WV 25125

Mailing address

836 4th Ave
Huntington, WV 25701-1407

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300XNone listed

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About NPI 1417201088

Southern Clay County Volunteers's National Provider Identifier is 1417201088, issued on Nov 5, 2012. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Lizemore, WV. The record was last updated on Dec 3, 2012.