Provider Demographics
NPI:1851127807
Name:PIKE ROAD VOLUNTEER FIRE PROTECTION AUTHORITY
Entity type:Organization
Organization Name:PIKE ROAD VOLUNTEER FIRE PROTECTION AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MISSILDINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-271-1048
Mailing Address - Street 1:PO BOX 640099
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-0099
Mailing Address - Country:US
Mailing Address - Phone:334-271-1048
Mailing Address - Fax:
Practice Address - Street 1:3427 WALLAHATCHIE RD
Practice Address - Street 2:
Practice Address - City:PIKE ROAD
Practice Address - State:AL
Practice Address - Zip Code:36064-3524
Practice Address - Country:US
Practice Address - Phone:334-271-1048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance