Provider Demographics
NPI:1487489639
Name:GLOUCESTER VOLUNTEER FIRE AND RESCUE SQUAD, INC.
Entity type:Organization
Organization Name:GLOUCESTER VOLUNTEER FIRE AND RESCUE SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:LENDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:804-695-6313
Mailing Address - Street 1:6595 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-6103
Mailing Address - Country:US
Mailing Address - Phone:804-693-2148
Mailing Address - Fax:
Practice Address - Street 1:6595 MAIN ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-6103
Practice Address - Country:US
Practice Address - Phone:804-693-2148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport