Provider Demographics
NPI:1710009048
Name:BELVEDERE VOLUNTEER FIRE CO
Entity Type:Organization
Organization Name:BELVEDERE VOLUNTEER FIRE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOD CHAIRPERSON
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-275-5302
Mailing Address - Street 1:409 PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1141
Mailing Address - Country:US
Mailing Address - Phone:724-887-6822
Mailing Address - Fax:
Practice Address - Street 1:1000 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-2814
Practice Address - Country:US
Practice Address - Phone:302-998-8021
Practice Address - Fax:724-887-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE200055202Medicaid