Healthcare Provider Details

I. General information

NPI: 1386737575
Provider Name (Legal Business Name): NORTH HALIFAX VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 LEDA GROVE RD
NATHALIE VA
24577-3513
US

IV. Provider business mailing address

4201 LEDA GROVE RD
NATHALIE VA
24577-3513
US

V. Phone/Fax

Practice location:
  • Phone: 434-349-3500
  • Fax:
Mailing address:
  • Phone: 434-349-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J HARDY
Title or Position: EMS SUPERVISOR
Credential:
Phone: 434-349-3500