Organization
GREENBACKVILLE VFD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L CARTER (BILLING AGENT)
(410) 479-4790
Entity
Organization
Contact information
Practice address
1479 STOCKTON AVE, GREENBACKVILLE, VA 23356
(410) 479-4790
(410) 479-4793
Mailing address
PO BOX 579, DENTON, MD 21629-0579
(410) 479-4790
(410) 479-4793
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
354
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9014527
—
VA
Enumeration date
07/03/2006
Last updated
08/22/2020
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