| Organization Name: | BUCKHEAD VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC |
| NPI Number: | 1215984075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEFAN JACOBS (CHIEF) |
| Mailing Address: | 6810 Old Lake Rd Bolton |
| State: | NC US |
| Postal Code: | 284238958 |
| Phone Number: | 9106558332 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |