Provider Demographics
NPI:1164483889
Name:FRENCH BROAD VOLUNTEER FIRE DEPT
Entity Type:Organization
Organization Name:FRENCH BROAD VOLUNTEER FIRE DEPT
Other - Org Name:FRENCH BROAD EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-683-3651
Mailing Address - Street 1:PO BOX 863
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-0863
Mailing Address - Country:US
Mailing Address - Phone:336-766-4448
Mailing Address - Fax:336-766-1279
Practice Address - Street 1:572 FLETCHER MARTIN RD
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:NC
Practice Address - Zip Code:28701-9727
Practice Address - Country:US
Practice Address - Phone:828-683-3651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406867Medicaid
NC0728YOtherBCBS NC
NC0728YOtherBCBS NC