Provider Demographics
NPI:1205435088
Name:KNOX CREEK VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:KNOX CREEK VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:276-528-2034
Mailing Address - Street 1:1356 MOUNTAIN LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:VA
Mailing Address - Zip Code:24620-8559
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8608 HURLEY ROAD
Practice Address - Street 2:
Practice Address - City:HURLEY
Practice Address - State:VA
Practice Address - Zip Code:24620-0000
Practice Address - Country:US
Practice Address - Phone:276-528-2034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport