Provider Demographics
NPI:1861408189
Name:RICHMOND VOLUNTEER FIRE AND RESCUE COMPANY, INC.
Entity type:Organization
Organization Name:RICHMOND VOLUNTEER FIRE AND RESCUE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:JEFFERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-282-9766
Mailing Address - Street 1:836 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1407
Mailing Address - Country:US
Mailing Address - Phone:800-676-4785
Mailing Address - Fax:
Practice Address - Street 1:7452 ST
Practice Address - Street 2:RTE 152
Practice Address - City:RICHMOND
Practice Address - State:OH
Practice Address - Zip Code:43944-9703
Practice Address - Country:US
Practice Address - Phone:740-765-5390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH001705127OtherMT STATE
OH590013933OtherRAILROAD MEDICARE
OH000000221443OtherANTHEM
OH2132132Medicaid
OH=========00OtherWORKERS COMP INS CARRIERS
OH9294531Medicare PIN