Provider Demographics
NPI:1922500883
Name:TANGIER VOLUNTEER FIRE DEPARTMENT INC.
Entity Type:Organization
Organization Name:TANGIER VOLUNTEER FIRE DEPARTMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:CROCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-891-2534
Mailing Address - Street 1:16344 MAIN RIDGE RD
Mailing Address - Street 2:PO BOX 239
Mailing Address - City:TANGIER
Mailing Address - State:VA
Mailing Address - Zip Code:23440-0239
Mailing Address - Country:US
Mailing Address - Phone:757-891-2347
Mailing Address - Fax:757-891-2295
Practice Address - Street 1:16344 MAIN RIDGE RD
Practice Address - Street 2:
Practice Address - City:TANGIER
Practice Address - State:VA
Practice Address - Zip Code:23440-0239
Practice Address - Country:US
Practice Address - Phone:757-891-2347
Practice Address - Fax:757-891-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance