Healthcare Provider Details

I. General information

NPI: 1083898068
Provider Name (Legal Business Name): PAMPLIN VOLUNTEER FIRE DEPARTMENT AND EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 08/07/2020
Certification Date: 08/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2394 PAMPLIN ROAD
PAMPLIN VA
23958-0099
US

IV. Provider business mailing address

PO BOX 1099
PAMPLIN VA
23958-0099
US

V. Phone/Fax

Practice location:
  • Phone: 434-248-6690
  • Fax:
Mailing address:
  • Phone: 434-248-6690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1205
License Number StateVA

VIII. Authorized Official

Name: ELIJAH C HARRISON
Title or Position: CAPTAIN
Credential:
Phone: 434-248-6690