Provider Demographics
NPI:1083898068
Name:PAMPLIN VOLUNTEER FIRE DEPARTMENT AND EMS INC
Entity Type:Organization
Organization Name:PAMPLIN VOLUNTEER FIRE DEPARTMENT AND EMS INC
Other - Org Name:PAMPLIN VOLUNTEER FIRE & EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:ELIJAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-248-6690
Mailing Address - Street 1:PO BOX 1099
Mailing Address - Street 2:
Mailing Address - City:PAMPLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23958-0099
Mailing Address - Country:US
Mailing Address - Phone:434-248-6690
Mailing Address - Fax:
Practice Address - Street 1:2394 PAMPLIN ROAD
Practice Address - Street 2:
Practice Address - City:PAMPLIN
Practice Address - State:VA
Practice Address - Zip Code:23958-0099
Practice Address - Country:US
Practice Address - Phone:434-248-6690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1205341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance