1932173523 NPI number — HARBORCREEK FIRE DEPARTMENT

Table of content: (NPI 1932173523)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932173523 NPI number — HARBORCREEK FIRE DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARBORCREEK FIRE DEPARTMENT
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:
Provider Other Organization Name Type Code:
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:
1932173523
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7275 BUFFALO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARBORCREEK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16421-1102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-899-8304
Provider Business Mailing Address Fax Number:
814-898-1165

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7275 BUFFALO RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARBORCREEK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16421-1102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-899-8304
Provider Business Practice Location Address Fax Number:
814-898-1165
Provider Enumeration Date:
02/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RAMSEY
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
814-899-8304

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 271211 . This is a "LIBERTY MUTUAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0009259850005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 337153 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1197766 . This is a "CIGNA HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 282378 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 441590784 . This is a "RR MEDICARE/PALMETTO GBA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 77345 . This is a "MEDPLUS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 305266 . This is a "UPMC HELATH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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