Provider Demographics
NPI:1689373664
Name:WEST BEND/BETHEL VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:WEST BEND/BETHEL VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF/PARAMEDIC
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MILSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:NRP, FP-C
Authorized Official - Phone:251-769-8227
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:COFFEEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36524-0368
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5630 WEST BEND RD
Practice Address - Street 2:
Practice Address - City:COFFEEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36524
Practice Address - Country:US
Practice Address - Phone:251-769-8227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance