| Organization Name: | BROOKE COUNTY AMBULANCE |
| NPI Number: | 1083605356 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN WILLIAM SCHWERTFEGER (DIRECTOR) |
| Mailing Address: | 1061 Main St Follansbee |
| State: | WV US |
| Postal Code: | 260371344 |
| Phone Number: | 3045273701 |
| Fax Number: | 3047375121 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |