Provider Demographics
NPI:1154597565
Name:KEOKEE VOLUNTEER FIRE AND RESCUE
Entity type:Organization
Organization Name:KEOKEE VOLUNTEER FIRE AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:BRODY
Authorized Official - Last Name:SHARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-708-5571
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 1:153 FIRE HALL ROAD
Practice Address - Street 2:
Practice Address - City:KEOKEE
Practice Address - State:VA
Practice Address - Zip Code:24265-0129
Practice Address - Country:US
Practice Address - Phone:276-565-4110
Practice Address - Fax:276-565-4110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA8073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport