=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457479586
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CUMBERLAND VOLUNTEER FIRE DEPARTMENT INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2007
-----------------------------------------------------
Last Update Date | 01/30/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 444 MAIN ST
-----------------------------------------------------
City | CUMBERLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-638-2601
-----------------------------------------------------
Fax | 740-638-2601
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 217
-----------------------------------------------------
City | CUMBERLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43732-0217
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-638-2601
-----------------------------------------------------
Fax | 740-638-2601
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY
-----------------------------------------------------
Name | ELIZABETH L WHITED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 740-638-2601
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------