1922307644 NPI number — JACOBSTOWN VOLUNTEER FIRE COMPANY INC

Table of content: (NPI 1922307644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922307644 NPI number — JACOBSTOWN VOLUNTEER FIRE COMPANY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JACOBSTOWN VOLUNTEER FIRE COMPANY INC
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:
1922307644
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 868
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VOORHEES
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08043-0868
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-784-8004
Provider Business Mailing Address Fax Number:
856-768-2739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
86 CHESTERFIELD JACOBSTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WRIGHTSTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08562-1917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-758-7386
Provider Business Practice Location Address Fax Number:
856-768-2739
Provider Enumeration Date:
03/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MYRONCUK
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
609-758-7386

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  J0313018 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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