Provider Demographics
NPI:1649634080
Name:JASPER VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:JASPER VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-523-2910
Mailing Address - Street 1:25700 US HIGHWAY 23 N
Mailing Address - Street 2:
Mailing Address - City:DUFFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24244-2539
Mailing Address - Country:US
Mailing Address - Phone:276-523-6632
Mailing Address - Fax:
Practice Address - Street 1:25700 US HIGHWAY 23 N
Practice Address - Street 2:
Practice Address - City:DUFFIELD
Practice Address - State:VA
Practice Address - Zip Code:24244-2539
Practice Address - Country:US
Practice Address - Phone:276-523-6632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport