Healthcare Provider Details

I. General information

NPI: 1740288653
Provider Name (Legal Business Name): ALDERSON VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 RAILROAD AVE
ALDERSON WV
24910-7000
US

IV. Provider business mailing address

836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 304-445-7420
  • Fax: 304-521-1576
Mailing address:
  • Phone: 304-521-1576
  • Fax: 304-521-1576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateWV

VIII. Authorized Official

Name: LISA H. VANDALL
Title or Position: CHIEF
Credential:
Phone: 304-667-9493