Healthcare Provider Details

I. General information

NPI: 1982683074
Provider Name (Legal Business Name): CRUMPTON VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 3RD ST
CRUMPTON MD
21628
US

IV. Provider business mailing address

PO BOX 68
CRUMPTON MD
21628-0068
US

V. Phone/Fax

Practice location:
  • Phone: 410-778-6100
  • Fax: 410-778-0979
Mailing address:
  • Phone: 410-778-6100
  • Fax: 410-778-0979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. STEVEN WAYNE DRIVER
Title or Position: PRESIDENT
Credential:
Phone: 410-924-6591