Organization
GOODSON KINDERHOOK VOLUNTEER FIRE DEPARTMENT INC
Active
Organization
GOODSON KINDERHOOK VOLUNTEER FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK C. LEWIS (TREASURER)
(276) 669-1251
Entity
Organization
Contact information
Practice address
19864 BENHAMS RD, BRISTOL, VA 24202-2800
(276) 669-1251
(270) 984-1537
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
00854
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010106991
—
VA
01
—
P00149307
RAILROAD MEDICARE
—
Enumeration date
07/09/2006
Last updated
08/09/2023
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