Provider Demographics
NPI:1992784524
Name:CECILTON VOLUNTEER FIRE CO INC
Entity type:Organization
Organization Name:CECILTON VOLUNTEER FIRE CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-275-8686
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:CECILTON
Mailing Address - State:MD
Mailing Address - Zip Code:21913-0565
Mailing Address - Country:US
Mailing Address - Phone:410-275-8686
Mailing Address - Fax:410-275-9262
Practice Address - Street 1:110 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CECILTON
Practice Address - State:MD
Practice Address - Zip Code:21913-1001
Practice Address - Country:US
Practice Address - Phone:410-275-8686
Practice Address - Fax:410-275-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
MD1FDXE45FXYHA47033341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD479301300Medicaid
MD736RMedicare PIN