1992784524 NPI number — CECILTON VOLUNTEER FIRE CO 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 1992784524 NPI number — CECILTON VOLUNTEER FIRE CO INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CECILTON VOLUNTEER FIRE CO 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:
1992784524
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 565
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CECILTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21913-0565
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-275-8686
Provider Business Mailing Address Fax Number:
410-275-9262

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CECILTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21913-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-275-8686
Provider Business Practice Location Address Fax Number:
410-275-9262
Provider Enumeration Date:
01/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BIGGS
Authorized Official First Name:
CHRISTINA
Authorized Official Middle Name:
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
410-275-8686

Provider Taxonomy Codes

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

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

  • Identifier: 479301300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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