1013958578 NPI number — ROCK HALL VOLUNTEER FIRE CO INC

Table of content: (NPI 1013958578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013958578 NPI number — ROCK HALL VOLUNTEER FIRE CO INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCK HALL VOLUNTEER FIRE CO 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:
1013958578
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:
21500 ROCK HALL AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCK HALL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21661-0577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-639-7888
Provider Business Practice Location Address Fax Number:
410-639-7637
Provider Enumeration Date:
06/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GLENN
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
ANDREW
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
443-480-0527

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)





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