Basic Information
| Provider Information | |||||||||
| NPI: | 1811411390 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAKERTON FIRE DEPARTMENT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 836 4TH AVE | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257011407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045211576 | ||||||||
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| Practice Location | |||||||||
| Address1: | 891 CARTER AVE | ||||||||
| Address2: | |||||||||
| City: | HARPERS FERRY | ||||||||
| State: | WV | ||||||||
| PostalCode: | 254253523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3048760007 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2017 | ||||||||
| LastUpdateDate: | 07/27/2017 | ||||||||
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| AuthorizedOfficialLastName: | FRITTS | ||||||||
| AuthorizedOfficialFirstName: | BRADLEY | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | ASST CHIEF | ||||||||
| AuthorizedOfficialTelephone: | 3048760007 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | Y | Transportation Services | Ambulance | Land Transport |
No ID Information.