MEDICARE: UNION CITY 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	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962867382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION CITY VOLUNTEER FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	PO BOX 67
Second Line	:
City	:	UNION CITY
State	:	PA
Zip	:	16438-0067
Country	:	US
Telephone Number	:	814-438-3331
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 2ND AVE
Second Line	:
City	:	UNION CITY
State	:	PA
Zip	:	16438-1244
Country	:	US
Telephone Number	:	814-438-3331
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	SHIRLEY LAFFERTY
Credential	:
Telephone Number	:	814-438-3331

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	10/12/2016

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Directions to “UNION CITY VOLUNTEER FIRE DEPARTMENT ” Practice Location

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