Organization
WHITEFORD VOLUNTEER FIRE COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL LARRY HOLBROOK (PRESIDENT)
(410) 452-8425
Entity
Organization
Contact information
Practice address
1407 PYLESVILLE ROAD, WHITEFORD, MD 21160
(410) 452-8425
Mailing address
PO BOX 222, WHITEFORD, MD 21160-0222
(410) 452-8425
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237100600
—
MD
01
—
S044
FEDERAL BLUE SHIELD
MD
01
—
TR13
CAREFIRST BC/BS
MD
Enumeration date
04/23/2007
Last updated
10/11/2011
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