Healthcare Provider Details

I. General information

NPI: 1215695705
Provider Name (Legal Business Name): CAIRO VOLUNTEER FIRE DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MCGREGOR STREET
CAIRO WV
26337-0000
US

IV. Provider business mailing address

PO BOX 429
CAIRO WV
26337-0429
US

V. Phone/Fax

Practice location:
  • Phone: 304-253-1059
  • Fax: 304-253-1965
Mailing address:
  • Phone: 304-253-1059
  • Fax: 304-253-1965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. ZACHARY ALLEN FOSTER
Title or Position: CHIEF
Credential: EMT-A
Phone: 304-253-1059