Provider Demographics
NPI:1245334549
Name:GHENT AREA VOLUNTEER FIRE DEPT., INC.
Entity type:Organization
Organization Name:GHENT AREA VOLUNTEER FIRE DEPT., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHREWSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-787-3196
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:GHENT
Mailing Address - State:WV
Mailing Address - Zip Code:25843-0099
Mailing Address - Country:US
Mailing Address - Phone:304-787-3196
Mailing Address - Fax:
Practice Address - Street 1:2651 FLAT TOP ROAD
Practice Address - Street 2:
Practice Address - City:GHENT
Practice Address - State:WV
Practice Address - Zip Code:25843
Practice Address - Country:US
Practice Address - Phone:304-787-3196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0145860000Medicaid
WV0145860000Medicaid