Healthcare Provider Details

I. General information

NPI: 1437231305
Provider Name (Legal Business Name): FRANKLIN TOWNSHIP VOLUNTEER FIRE DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 11/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7455 NEW RD
EDINBORO PA
16412-3611
US

IV. Provider business mailing address

7455 NEW RD
EDINBORO PA
16412-3611
US

V. Phone/Fax

Practice location:
  • Phone: 814-734-5444
  • Fax:
Mailing address:
  • Phone: 814-734-5444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number04191
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number2503401
License Number StatePA

VIII. Authorized Official

Name: MR. GEORGE VOELKER
Title or Position: PRESIDENT
Credential:
Phone: 814-734-5444