Provider Demographics
NPI:1982683074
Name:CRUMPTON VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:CRUMPTON VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:DRIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-924-6591
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:CRUMPTON
Mailing Address - State:MD
Mailing Address - Zip Code:21628-0068
Mailing Address - Country:US
Mailing Address - Phone:410-778-6100
Mailing Address - Fax:410-778-0979
Practice Address - Street 1:300 3RD ST
Practice Address - Street 2:
Practice Address - City:CRUMPTON
Practice Address - State:MD
Practice Address - Zip Code:21628
Practice Address - Country:US
Practice Address - Phone:410-778-6100
Practice Address - Fax:410-778-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
MD341600000X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDTR08CROtherMARYLAND BLUE SHIELD
MDTR08CROtherMARYLAND BLUE SHIELD