| Organization Name: | BLACKSTONE VOL.FIRE DEPT |
| NPI Number: | 1356686299 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN ADAM HAUG (2ND LT.) |
| Mailing Address: | 318 Church St Blackstone |
| State: | VA US |
| Postal Code: | 238241602 |
| Phone Number: | 4342923933 |
| Fax Number: | 4342921184 |
| NPI Enumeration Date: | 12/04/2012 |
| NPI Last Update Date: | 12/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |