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Organization

ALBERTA VOLUNTEER FIRE DEPARTMENT

Active
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Organization

ALBERTA VOLUNTEER FIRE DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK THOMAS JOHNSON (CAPTAIN)
(434) 949-7541
Entity
Organization

Contact information

Practice address
49 MAIN ST., ALBERTA, VA 23821
(434) 949-7541
(434) 949-0760
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299412
ANTHEM
VA
01
P00604746
RAILROAD MEDICARE
VA
Enumeration date
11/16/2006
Last updated
11/16/2021
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