Provider Demographics
NPI:1114672078
Name:CLUSTER SPRINGS VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:CLUSTER SPRINGS VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:434-579-5338
Mailing Address - Street 1:P.O. BOX 110
Mailing Address - Street 2:
Mailing Address - City:CLUSTER SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24535-0071
Mailing Address - Country:US
Mailing Address - Phone:434-575-7094
Mailing Address - Fax:
Practice Address - Street 1:1009 BLACK WALNUT CHURCH ROAD
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:VA
Practice Address - Zip Code:24520-3100
Practice Address - Country:US
Practice Address - Phone:434-575-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance