1689670820 NPI number — MOUNT PLEASANT VOLUNTEER FIRE DEPARTMENT INC OF JEFFERSON COUNTY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689670820 NPI number — MOUNT PLEASANT VOLUNTEER FIRE DEPARTMENT INC OF JEFFERSON COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOUNT PLEASANT VOLUNTEER FIRE DEPARTMENT INC OF JEFFERSON COUNTY
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:
MOUNT PLEASANT VOLUNTEER FIRE DEPT INC
Provider Other Organization Name Type Code:
3
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:
1689670820
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6786
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHEELING
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26003-0919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-233-9314
Provider Business Mailing Address Fax Number:
304-233-0265

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
198 OAK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-769-7729
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
PANEPUCCI
Authorized Official First Name:
TONY
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
740-769-7729

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2307284 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com