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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