1013997089 NPI number — PARKVIEW PLAN VOLUNTEER FIRE COMPANY OF OHARA TOWNSHIP

Table of content: (NPI 1013997089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013997089 NPI number — PARKVIEW PLAN VOLUNTEER FIRE COMPANY OF OHARA TOWNSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARKVIEW PLAN VOLUNTEER FIRE COMPANY OF OHARA TOWNSHIP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PARKVIEW VOL FIRE DEPT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013997089
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
926 LOCUST ST
Provider Second Line Business Mailing Address:
C/O MEDICAL BILLING GROUP
Provider Business Mailing Address City Name:
CORAOPOLIS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15108-1711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-264-1446
Provider Business Mailing Address Fax Number:
412-264-2044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
726 MIDWAY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15215-1358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-449-1080
Provider Business Practice Location Address Fax Number:
412-449-1081
Provider Enumeration Date:
01/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HEILMANN
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS CHIEF
Authorized Official Telephone Number:
412-449-1080

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  03121 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1030760600002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590013844 . This is a "RRMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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