Provider Demographics
NPI:1134832496
Name:BAGLEY VOLUNTEER FIRE & RESCUE INC
Entity type:Organization
Organization Name:BAGLEY VOLUNTEER FIRE & RESCUE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:CREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-648-4608
Mailing Address - Street 1:7175 BANKHEAD HWY
Mailing Address - Street 2:
Mailing Address - City:DORA
Mailing Address - State:AL
Mailing Address - Zip Code:35062-2304
Mailing Address - Country:US
Mailing Address - Phone:205-648-4608
Mailing Address - Fax:
Practice Address - Street 1:7175 BANKHEAD HWY
Practice Address - Street 2:
Practice Address - City:DORA
Practice Address - State:AL
Practice Address - Zip Code:35062-2304
Practice Address - Country:US
Practice Address - Phone:205-648-4608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport