1710964374 NPI number — WHITE DEER TOWNSHIP VOLUNTEER FIREMANS RELIEF ASSOCIATION

Table of content: (NPI 1710964374)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710964374 NPI number — WHITE DEER TOWNSHIP VOLUNTEER FIREMANS RELIEF ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHITE DEER TOWNSHIP VOLUNTEER FIREMANS RELIEF ASSOCIATION
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:
1710964374
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 18533
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15236-0533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-249-0544
Provider Business Mailing Address Fax Number:
724-234-4703

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
366 CEMETERY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW COLUMBIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17856-9176
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-568-3334
Provider Business Practice Location Address Fax Number:
570-568-1923
Provider Enumeration Date:
12/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
AIKEY
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
570-568-3334

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)

  • Identifier: 0012658510003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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