1942254941 NPI number — COMMUNITY FIRE CO OF MILLINGTON INC.

Table of content: (NPI 1942254941)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942254941 NPI number — COMMUNITY FIRE CO OF MILLINGTON INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY FIRE CO OF MILLINGTON INC.
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:
1942254941
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
409 PORTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTDALE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15683-1141
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-887-6822
Provider Business Mailing Address Fax Number:
724-887-9440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
185 SASSAFRAS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLINGTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21651-2055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-928-3171
Provider Business Practice Location Address Fax Number:
724-887-9440
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MORALES
Authorized Official First Name:
CJ
Authorized Official Middle Name:
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
410-708-7208

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  1FDKE30M1RHB57027 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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