Provider Demographics
NPI:1659549970
Name:UNION BRIDGE VOLUNTEER FIRE COMPANY, INC.
Entity Type:Organization
Organization Name:UNION BRIDGE VOLUNTEER FIRE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-775-7422
Mailing Address - Street 1:8 WEST LOCUST STREET
Mailing Address - Street 2:P.O. BOX 1050
Mailing Address - City:UNION BRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21791
Mailing Address - Country:US
Mailing Address - Phone:410-775-7422
Mailing Address - Fax:
Practice Address - Street 1:8 WEST LOCUST STREET
Practice Address - Street 2:
Practice Address - City:UNION BRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21791
Practice Address - Country:US
Practice Address - Phone:410-775-7422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport