1295932341 NPI number — DUFFIELD VOLUNTEER FIRE AND RESCUE SQUAD INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295932341 NPI number — DUFFIELD VOLUNTEER FIRE AND RESCUE SQUAD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUFFIELD VOLUNTEER FIRE AND RESCUE SQUAD 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:
Provider Other Organization Name Type Code:
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:
1295932341
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3348
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPARTANBURG
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29304-3348
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-280-7040
Provider Business Mailing Address Fax Number:
864-280-7040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1326 INDUSTRIAL PARK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUFFIELD
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24244-0297
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-431-2760
Provider Business Practice Location Address Fax Number:
276-431-1760
Provider Enumeration Date:
07/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CARTER
Authorized Official First Name:
ROGER
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF
Authorized Official Telephone Number:
276-431-2760

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  00473 , 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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