1902974405 NPI number — HAMLIN FIRE AND RESCUE COMPANY

Table of content: (NPI 1902974405)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902974405 NPI number — HAMLIN FIRE AND RESCUE COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAMLIN FIRE AND RESCUE COMPANY
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:
1902974405
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 116
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMLIN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18427-0116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-689-9193
Provider Business Mailing Address Fax Number:
570-689-5561

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
582 HAMLIN HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMLIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-689-9193
Provider Business Practice Location Address Fax Number:
570-689-5561
Provider Enumeration Date:
12/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LEONE
Authorized Official First Name:
MARCO
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
570-689-9193

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  04033 , 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: 0012791130004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 350732 . This is a "AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30587 . This is a "GEISINGER HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1019107830001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0005848490 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 801770 . This is a "FIRST PRIORITY HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 202417 . This is a "FEDERAL BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 350732 . This is a "HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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