Provider Demographics
NPI:1609201516
Name:MINT HILL VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:MINT HILL VOLUNTEER FIRE DEPARTMENT
Other - Org Name:MINT HILL VOL. FIRE DEPT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-545-4866
Mailing Address - Street 1:PO BOX 23065
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-0272
Mailing Address - Country:US
Mailing Address - Phone:704-545-4866
Mailing Address - Fax:
Practice Address - Street 1:8313 FAIRVIEW ROAD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-0000
Practice Address - Country:US
Practice Address - Phone:704-545-4866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14443416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport