Healthcare Provider Details
I. General information
NPI: 1003512237
Provider Name (Legal Business Name): MARION TOWNSHIP VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2305 W. SUNBURY ROAD
BOYERS PA
16020
US
IV. Provider business mailing address
PO BOX 136
BOYERS PA
16020-0136
US
V. Phone/Fax
- Phone: 724-735-4640
- Fax: 724-735-6044
- Phone: 724-735-4640
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
VANCE
HAIRHOGER
Title or Position: EMS CHIEF/ BOARD OF DIRECTOR
Credential: AEMT
Phone: 724-333-3534