Provider Demographics
NPI:1518420876
Name:THE TROUTDALE COMMUNITY VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Entity Type:Organization
Organization Name:THE TROUTDALE COMMUNITY VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-677-3566
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:VA
Mailing Address - Zip Code:24378-0160
Mailing Address - Country:US
Mailing Address - Phone:276-677-3566
Mailing Address - Fax:276-677-0205
Practice Address - Street 1:291 RIPSHIN ROAD
Practice Address - Street 2:
Practice Address - City:TROUTDALE
Practice Address - State:VA
Practice Address - Zip Code:24378
Practice Address - Country:US
Practice Address - Phone:276-677-3566
Practice Address - Fax:276-677-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport