Organization
CITY OF FREDERICKSBURG
Active
Other names
Fredericksburg Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FOX JR. (DEPUTY CHIEF)
(540) 372-1059
Entity
Organization
Contact information
Practice address
601 PRINCESS ANNE ST, FREDERICKSBURG, VA 22401-5914
(540) 372-1059
(540) 372-1050
Mailing address
PO BOX 2605, FOREST, VA 24551-6605
(866) 631-4452
(937) 291-2971
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
511
VA
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
511
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338899
ANTHEM
VA
01
—
P00641039
RAILROAD MEDICARE
VA
Enumeration date
11/17/2006
Last updated
11/08/2021
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