Organization
LOWER KING AND QUEEN COUNTY VOLUNTEER FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COGGSDALE (EMS CHIEF)
(804) 366-2657
Entity
Organization
Contact information
Practice address
250 BOHANNON PARK, SHACKLEFORDS, VA 23156
(804) 366-2657
(804) 785-9411
Mailing address
PO BOX 119, MATTAPONI, VA 23110-0119
(804) 366-2657
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1299
VA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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