Provider Demographics
NPI:1235471830
Name:MT ROGERSVOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:MT ROGERSVOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-388-3422
Mailing Address - Street 1:PO BOX 47
Mailing Address - Street 2:
Mailing Address - City:WHITETOP
Mailing Address - State:VA
Mailing Address - Zip Code:24292-0047
Mailing Address - Country:US
Mailing Address - Phone:276-388-3422
Mailing Address - Fax:276-388-2854
Practice Address - Street 1:51 FIRE HOUSE RD
Practice Address - Street 2:
Practice Address - City:WHITETOP
Practice Address - State:VA
Practice Address - Zip Code:24292
Practice Address - Country:US
Practice Address - Phone:276-388-3422
Practice Address - Fax:276-388-2854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3873416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport