Provider Demographics
NPI:1356686299
Name:BLACKSTONE VOL.FIRE DEPT
Entity Type:Organization
Organization Name:BLACKSTONE VOL.FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:2ND LT.
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:HAUG
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:1434-294-5855
Mailing Address - Street 1:318 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:VA
Mailing Address - Zip Code:23824-1602
Mailing Address - Country:US
Mailing Address - Phone:434-292-3933
Mailing Address - Fax:434-292-1184
Practice Address - Street 1:318 CHURCH ST
Practice Address - Street 2:
Practice Address - City:BLACKSTONE
Practice Address - State:VA
Practice Address - Zip Code:23824-1602
Practice Address - Country:US
Practice Address - Phone:434-292-3933
Practice Address - Fax:434-292-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable