1336292762 NPI number — MONROEVILLE VOLUNTEER FIRE DEPT. #5

Table of content: (NPI 1336292762)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336292762 NPI number — MONROEVILLE VOLUNTEER FIRE DEPT. #5

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MONROEVILLE VOLUNTEER FIRE DEPT. #5
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:
1336292762
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 SECO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15146-1418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-372-4444
Provider Business Mailing Address Fax Number:
412-373-9090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 SECO RD
Provider Second Line Business Practice Location Address:
BOX 156
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-1418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-372-4444
Provider Business Practice Location Address Fax Number:
412-373-9090
Provider Enumeration Date:
01/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KOHLMANN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
PATRICK
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
412-372-7725

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  02067 , 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: 0009937420001 . This is a "PUBLIC AID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com