Provider Demographics
NPI:1639109069
Name:HEBRON VOLUNTEER FIRE DEPARTMENT INCORPORATED
Entity Type:Organization
Organization Name:HEBRON VOLUNTEER FIRE DEPARTMENT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:400-479-4790
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:MD
Mailing Address - Zip Code:21830-0300
Mailing Address - Country:US
Mailing Address - Phone:410-479-4790
Mailing Address - Fax:410-479-4793
Practice Address - Street 1:300 MAIN ST
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:MD
Practice Address - Zip Code:21830
Practice Address - Country:US
Practice Address - Phone:410-479-4790
Practice Address - Fax:410-479-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNONE REQUIRED3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD303700200Medicaid
Y780Medicare PIN
590013664Medicare PIN