Healthcare Provider Details
I. General information
NPI: 1942206420
Provider Name (Legal Business Name): COLLEGE PARK VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8115 BALTIMORE AVE
COLLEGE PARK MD
20740-2431
US
IV. Provider business mailing address
PO BOX 726
NEW CUMBERLAND PA
17070-0726
US
V. Phone/Fax
- Phone: 301-901-9112
- Fax: 301-901-9115
- Phone: 717-214-6018
- Fax: 717-214-6020
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PETER
PIRINGER
Title or Position: PRESIDENT
Credential:
Phone: 301-901-9112