Healthcare Provider Details

I. General information

NPI: 1730120924
Provider Name (Legal Business Name): THE COMMUNITY FIRE COMPANY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3356 MAIN ST
EXMORE VA
23350-0706
US

IV. Provider business mailing address

PO BOX 706
EXMORE VA
23350-0706
US

V. Phone/Fax

Practice location:
  • Phone: 757-442-7813
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number348
License Number StateVA

VIII. Authorized Official

Name: PAMELA LEWIS
Title or Position: SECRETARY
Credential:
Phone: 757-442-7813