Provider Demographics
NPI:1275511347
Name:BETTERTON VOLUNTEER FIRE COMPANY INC
Entity Type:Organization
Organization Name:BETTERTON VOLUNTEER FIRE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-348-5678
Mailing Address - Street 1:2 HOWELL POINT RD
Mailing Address - Street 2:
Mailing Address - City:BETTERTON
Mailing Address - State:MD
Mailing Address - Zip Code:21610-3124
Mailing Address - Country:US
Mailing Address - Phone:410-348-5678
Mailing Address - Fax:410-348-5300
Practice Address - Street 1:2 HOWELL POINT RD
Practice Address - Street 2:
Practice Address - City:BETTERTON
Practice Address - State:MD
Practice Address - Zip Code:21610-3124
Practice Address - Country:US
Practice Address - Phone:410-348-5678
Practice Address - Fax:410-348-5300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405577200Medicaid
MD65058801OtherCAREFIRST BLUE SHIELD
MD405577200Medicaid
MD65058801OtherCAREFIRST BLUE SHIELD