Organization
PARKSLEY VOLUNTEER FIRE CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED MATTHEWS (PRESIDENT)
(757) 665-6977
Entity
Organization
Contact information
Practice address
18431 DUNNE AVE, PARKSLEY, VA 23421-0014
(757) 665-6977
Mailing address
PO BOX 14, PARKSLEY, VA 23421-0014
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009013016
—
VA
01
—
076718
BCBS
—
01
—
16301
OPTIMA
—
01
—
590013020
RR CARE
—
Enumeration date
06/08/2006
Last updated
06/11/2012
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