Provider Demographics
NPI:1477796050
Name:BETHANY BEACH VOLUNTEER FIRE CO. INC
Entity Type:Organization
Organization Name:BETHANY BEACH VOLUNTEER FIRE CO. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-539-7700
Mailing Address - Street 1:PO BOX 3348
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29304-3348
Mailing Address - Country:US
Mailing Address - Phone:864-280-7040
Mailing Address - Fax:864-280-7040
Practice Address - Street 1:215 HOLLYWOOD STREET
Practice Address - Street 2:
Practice Address - City:BETHANY BEACH
Practice Address - State:DE
Practice Address - Zip Code:19930
Practice Address - Country:US
Practice Address - Phone:302-539-7700
Practice Address - Fax:302-539-6514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance