| Organization Name: | NORTHERN GREENBRIER AMBULANCE SERVICE INC |
| NPI Number: | 1346249117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS BOGGS (CHIEF) |
| Mailing Address: | Route 219 Box 74 Renick |
| State: | WV US |
| Postal Code: | 249660000 |
| Phone Number: | 3044974334 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2005 |
| NPI Last Update Date: | 10/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |