Provider Demographics
NPI:1194825984
Name:UNION BRIDGE FIRE COMPANY INC
Entity type:Organization
Organization Name:UNION BRIDGE FIRE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CAPT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURDETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-974-8719
Mailing Address - Street 1:PO BOX 947
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-0947
Mailing Address - Country:US
Mailing Address - Phone:800-456-4629
Mailing Address - Fax:717-263-1566
Practice Address - Street 1:8 WEST LOCUST ST
Practice Address - Street 2:
Practice Address - City:UNION BRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21791
Practice Address - Country:US
Practice Address - Phone:410-775-7422
Practice Address - Fax:410-857-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD742210500Medicaid
MD742210500Medicaid