1437125028 NPI number — NORTH HUNTINGDON TOWNSHIP VOLUNTEER RESCUE SQUAD AND RELIEF ASSOCIATIO

Table of content: (NPI 1437125028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437125028 NPI number — NORTH HUNTINGDON TOWNSHIP VOLUNTEER RESCUE SQUAD AND RELIEF ASSOCIATIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH HUNTINGDON TOWNSHIP VOLUNTEER RESCUE SQUAD AND RELIEF ASSOCIATIO
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:
6
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:
1437125028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11259 CENTER HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HUNTINGDON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15642-2018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-863-4520
Provider Business Mailing Address Fax Number:
724-864-3449

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11259 CENTER HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642-2018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-863-4520
Provider Business Practice Location Address Fax Number:
724-864-3449
Provider Enumeration Date:
02/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PIRL
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
724-989-8382

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  65021 , 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: 0011361930005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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