Provider Demographics
NPI:1477650596
Name:LINEBORO VOLUNTEER FIRE DEPARTMENT, INC
Entity Type:Organization
Organization Name:LINEBORO VOLUNTEER FIRE DEPARTMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KREBS
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:410-239-4670
Mailing Address - Street 1:PO BOX 947
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-0947
Mailing Address - Country:US
Mailing Address - Phone:717-263-5562
Mailing Address - Fax:717-263-1566
Practice Address - Street 1:4224 MAIN ST
Practice Address - Street 2:
Practice Address - City:LINEBORO CPO
Practice Address - State:MD
Practice Address - Zip Code:21102-3125
Practice Address - Country:US
Practice Address - Phone:410-374-2197
Practice Address - Fax:410-374-9254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD856600300Medicaid
MD073RMedicare ID - Type Unspecified