Provider Demographics
NPI:1942392584
Name:REHOBETH VOLUNTEER FIRE& RESCUE
Entity Type:Organization
Organization Name:REHOBETH VOLUNTEER FIRE& RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-671-1603
Mailing Address - Street 1:81 COLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-8935
Mailing Address - Country:US
Mailing Address - Phone:334-702-8832
Mailing Address - Fax:
Practice Address - Street 1:81 COLEMAN RD
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-8935
Practice Address - Country:US
Practice Address - Phone:334-702-8832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL354341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-57207OtherBLUE CROSS