Provider Demographics
NPI:1033282645
Name:LEVEL VOLUNTEER FIRE COMPANY INCORPORATED
Entity Type:Organization
Organization Name:LEVEL VOLUNTEER FIRE COMPANY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:BURKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-734-6880
Mailing Address - Street 1:3633 LEVEL VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-1118
Mailing Address - Country:US
Mailing Address - Phone:410-734-6880
Mailing Address - Fax:410-734-7207
Practice Address - Street 1:3633 LEVEL VILLAGE RD
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-1118
Practice Address - Country:US
Practice Address - Phone:410-734-6880
Practice Address - Fax:410-734-7207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD453301100Medicaid
MDZ026LEOtherCAREFIRST BLUE SHIELD
MD453301100Medicaid
MDZ026Medicare PIN