MEDICARE: UNIVERSAL VOLUNTEER FIRE DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333300000X	Emergency Response System Companies	02360	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02360	OTHER	PA	PENNSYLVANIA DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1467769844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL VOLUNTEER FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	2240 MAIN ST
Second Line	:
City	:	PENN HILLS
State	:	PA
Zip	:	15235-3637
Country	:	US
Telephone Number	:	412-795-9288
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 MAIN ST
Second Line	:
City	:	PENN HILLS
State	:	PA
Zip	:	15235-3637
Country	:	US
Telephone Number	:	412-795-9288
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHRISTOPHER MCNAMARA
Credential	:
Telephone Number	:	412-795-9288

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	09/08/2010

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