Provider Demographics
NPI:1962792341
Name:MEHERRIN VOLUNTEER FIRE & RESCUE INC ENGINE CO NO 5
Entity type:Organization
Organization Name:MEHERRIN VOLUNTEER FIRE & RESCUE INC ENGINE CO NO 5
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:POORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-736-0633
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:MEHERRIN
Mailing Address - State:VA
Mailing Address - Zip Code:23954-0094
Mailing Address - Country:US
Mailing Address - Phone:434-736-0633
Mailing Address - Fax:
Practice Address - Street 1:102 MOORES ORDINARY ROAD
Practice Address - Street 2:
Practice Address - City:MEHERRIN
Practice Address - State:VA
Practice Address - Zip Code:23954-0094
Practice Address - Country:US
Practice Address - Phone:434-736-0633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA10173416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport