Provider Demographics
NPI:1124066840
Name:CASTLEWOOD FIRE AND RESCUE, INC.
Entity type:Organization
Organization Name:CASTLEWOOD FIRE AND RESCUE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-762-0242
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:103 DONNIE DEAN DRIVE
Practice Address - Street 2:
Practice Address - City:CASTLEWOOD
Practice Address - State:VA
Practice Address - Zip Code:24224-0009
Practice Address - Country:US
Practice Address - Phone:276-762-0242
Practice Address - Fax:276-762-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA465595OtherBCBS
VA010012414Medicaid
VAP00053971OtherRAILROAD MEDICARE
VAP00053971OtherRAILROAD MEDICARE
VAP00053971OtherRAILROAD MEDICARE