1598315293 NPI number — HUNDRED VOLUNTEER FIRE DEPT 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 1598315293 NPI number — HUNDRED VOLUNTEER FIRE DEPT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUNDRED VOLUNTEER FIRE DEPT 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:
6
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:
1598315293
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 33
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRANT TOWN
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26574-0033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-381-5318
Provider Business Mailing Address Fax Number:
304-278-7787

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
161 PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNDRED
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26575-1116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-775-2384
Provider Business Practice Location Address Fax Number:
304-775-2384
Provider Enumeration Date:
09/14/2019

Additional Information

Authorized Official

Authorized Official Last Name:
STOVER
Authorized Official First Name:
AMANDA
Authorized Official Middle Name:
NICOLE
Authorized Official Title or Position:
CERTIFIED AMBULANCE CODER
Authorized Official Telephone Number:
304-381-5318

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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