Provider Demographics
NPI:1235424755
Name:BURKEVILLE VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:BURKEVILLE VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:O
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-767-4254
Mailing Address - Street 1:503 NAMOZINE ST.
Mailing Address - Street 2:PO BOX 236
Mailing Address - City:BURKEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23922-0236
Mailing Address - Country:US
Mailing Address - Phone:434-767-4254
Mailing Address - Fax:434-767-2200
Practice Address - Street 1:503 NAMOZINE ST.
Practice Address - Street 2:
Practice Address - City:BURKEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23922-0236
Practice Address - Country:US
Practice Address - Phone:434-767-4254
Practice Address - Fax:434-767-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA06003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport