Organization
BACHELOR'S HALL VOLUNTEER FIRE DEPT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE COSTON (EMS CAPTAIN)
(434) 548-7771
Entity
Organization
Contact information
Practice address
1301 BERRY HILL RD, DANVILLE, VA 24541-8813
(434) 770-0944
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-8413
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568996353
—
VA
Enumeration date
04/18/2017
Last updated
03/05/2021
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