Healthcare Provider Details

I. General information

NPI: 1023067782
Provider Name (Legal Business Name): PITTSVILLE VOLUNTEER FIRE DEPT. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7442 GUMBORO RD
PITTSVILLE MD
21850-2016
US

IV. Provider business mailing address

PO BOX 387 7442 GUMBORO RD
PITTSVILLE MD
21850-0387
US

V. Phone/Fax

Practice location:
  • Phone: 410-835-2323
  • Fax: 410-835-3117
Mailing address:
  • Phone: 410-835-2323
  • Fax: 410-835-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD WILLIAM CHAPMAN
Title or Position: ASST. CHIEF
Credential: MEDIC
Phone: 410-835-2323