Provider Demographics
NPI:1558971366
Name:HURRICANE VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:HURRICANE VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DERON
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-562-5663
Mailing Address - Street 1:2716 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-1421
Mailing Address - Country:US
Mailing Address - Phone:304-562-5663
Mailing Address - Fax:304-562-3928
Practice Address - Street 1:2716 MAIN ST
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-1421
Practice Address - Country:US
Practice Address - Phone:304-562-5663
Practice Address - Fax:304-562-9328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance