1205035763 NPI number — THE TURBEVILLE VOLUNTEER FIRE AND RESCUE ASSOCIATION INC

Table of content: (NPI 1205035763)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205035763 NPI number — THE TURBEVILLE VOLUNTEER FIRE AND RESCUE ASSOCIATION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE TURBEVILLE VOLUNTEER FIRE AND RESCUE ASSOCIATION INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TURBEVILLE FIRE AND RESCUE INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205035763
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 726
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CUMBERLAND
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17070-0726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-753-6726
Provider Business Mailing Address Fax Number:
434-753-2760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1002 MELON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH BOSTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24592-6668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-753-6726
Provider Business Practice Location Address Fax Number:
434-753-2760
Provider Enumeration Date:
07/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CLARK
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
434-753-6726

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0650 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X , with the licence number: 1275 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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