1811080872 NPI number — SLIPPERY ROCK VFC AND RESCUE TEAM

Table of content: (NPI 1811080872)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811080872 NPI number — SLIPPERY ROCK VFC AND RESCUE TEAM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLIPPERY ROCK VFC AND RESCUE TEAM
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:
1811080872
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/25/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
162 ELM ST
Provider Second Line Business Mailing Address:
P O BOX 117
Provider Business Mailing Address City Name:
SLIPPERY ROCK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16057-1520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-794-3817
Provider Business Mailing Address Fax Number:
724-794-3482

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
162 ELM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SLIPPERY ROCK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16057-1520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-794-3817
Provider Business Practice Location Address Fax Number:
724-794-3482
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TAGGART
Authorized Official First Name:
DOREEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
724-468-1212

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  06018 , 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: 0014336070001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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