Healthcare Provider Details
I. General information
NPI: 1831493410
Provider Name (Legal Business Name): TUNSTALL VOLUNTEER FIRE AND RESCUE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2010
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
740 TUNSTALL HIGH RD
DRY FORK VA
24549-2349
US
IV. Provider business mailing address
PO BOX 575
DANVILLE VA
24543-0575
US
V. Phone/Fax
- Phone: 434-724-6677
- Fax: 434-724-6568
- Phone: 434-724-6677
- Fax: 434-724-6568
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:
CRISTEN
D
DEER
Title or Position: ASSISTANT CHIEF
Credential:
Phone: 344-710-9483