Provider Demographics
NPI:1598315293
Name:HUNDRED VOLUNTEER FIRE DEPT INC.
Entity Type:Organization
Organization Name:HUNDRED VOLUNTEER FIRE DEPT INC.
Other - Org Name:CINDY GLASSCOCK AMBULANCE BILLING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED AMBULANCE CODER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:STOVER
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED AMBULANCE
Authorized Official - Phone:304-381-5318
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:GRANT TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26574-0033
Mailing Address - Country:US
Mailing Address - Phone:304-381-5318
Mailing Address - Fax:304-278-7787
Practice Address - Street 1:161 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:HUNDRED
Practice Address - State:WV
Practice Address - Zip Code:26575-1116
Practice Address - Country:US
Practice Address - Phone:304-775-2384
Practice Address - Fax:304-775-2384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-14
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport