Provider Demographics
NPI:1679938245
Name:BITTINGER VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:BITTINGER VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ORENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-245-4414
Mailing Address - Street 1:176 BRENNEMAN RD
Mailing Address - Street 2:
Mailing Address - City:BITTINGER
Mailing Address - State:MD
Mailing Address - Zip Code:21522-1504
Mailing Address - Country:US
Mailing Address - Phone:301-245-4414
Mailing Address - Fax:
Practice Address - Street 1:176 BRENNEMAN RD
Practice Address - Street 2:
Practice Address - City:BITTINGER
Practice Address - State:MD
Practice Address - Zip Code:21522-1504
Practice Address - Country:US
Practice Address - Phone:301-245-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD424297100Medicaid
PA483421Medicare PIN