Provider Demographics
NPI:1083878847
Name:LAUREL VOLUNTEER FIRE DEPARTMENT #1
Entity Type:Organization
Organization Name:LAUREL VOLUNTEER FIRE DEPARTMENT #1
Other - Org Name:LAUREL VOLUNTEER FIRE COMPANY #1
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CHAIRMAN OF THE BOARD
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:WHIPPLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:301-490-3606
Mailing Address - Street 1:PO BOX 699
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-0699
Mailing Address - Country:US
Mailing Address - Phone:301-776-3600
Mailing Address - Fax:
Practice Address - Street 1:7411 CHERRY LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5562
Practice Address - Country:US
Practice Address - Phone:301-776-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport