# WHITEFORD VOLUNTEER FIRE COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780802959
- **Authorized official:** CECIL LARRY HOLBROOK (PRESIDENT)
- **Authorized official phone:** (410) 452-8425

## Contact information

- **Practice address:** 1407 PYLESVILLE ROAD, WHITEFORD, MD 21160
- **Practice address phone:** (410) 452-8425
- **Mailing address:** PO BOX 222, WHITEFORD, MD 21160-0222
- **Mailing address phone:** (410) 452-8425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 10/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 237100600 | — | MD |
| 01 | — | S044 | FEDERAL BLUE SHIELD | MD |
| 01 | — | TR13 | CAREFIRST BC/BS | MD |
