Provider Demographics
NPI: | 1336334432 |
---|---|
Name: | ORANGEBURG FIRE-RESCUE DEPT. |
Entity type: | Organization |
Organization Name: | ORANGEBURG FIRE-RESCUE DEPT. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | FIRE CHIEF |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KERRY |
Authorized Official - Middle Name: | K |
Authorized Official - Last Name: | MOORE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 606-759-5834 |
Mailing Address - Street 1: | 8002 DAY PIKE |
Mailing Address - Street 2: | STATION 1 |
Mailing Address - City: | MAYSVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 41056-9227 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 606-759-5834 |
Mailing Address - Fax: | 606-759-5834 |
Practice Address - Street 1: | 8002 DAY PIKE |
Practice Address - Street 2: | STATION 1 |
Practice Address - City: | MAYSVILLE |
Practice Address - State: | KY |
Practice Address - Zip Code: | 41056-9227 |
Practice Address - Country: | US |
Practice Address - Phone: | 606-759-5834 |
Practice Address - Fax: | 606-759-5834 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-09-11 |
Last Update Date: | 2007-09-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
KY | 81827 | 3416L0300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3416L0300X | Transportation Services | Ambulance | Land Transport |