Healthcare Provider Details

I. General information

NPI: 1659549970
Provider Name (Legal Business Name): UNION BRIDGE VOLUNTEER FIRE COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 WEST LOCUST STREET
UNION BRIDGE MD
21791
US

IV. Provider business mailing address

8 WEST LOCUST STREET P.O. BOX 1050
UNION BRIDGE MD
21791
US

V. Phone/Fax

Practice location:
  • Phone: 410-775-7422
  • Fax:
Mailing address:
  • Phone: 410-775-7422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. GEORGE ALLEN WENTZ
Title or Position: EMS CAPTAIN
Credential:
Phone: 410-775-7422