| Organization Name: | TRIADELPHIA VOLUNTEER FIRE DEPARTMENT INC |
| NPI Number: | 1144423385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKE WHEELER (PROVIDER RELATIONS SPECIALIST) |
| Mailing Address: | 292 National Road Triadelphia |
| State: | WV US |
| Postal Code: | 260590015 |
| Phone Number: | 3045475010 |
| Fax Number: | 3045474293 |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |