Healthcare Provider Details

I. General information

NPI: 1477657765
Provider Name (Legal Business Name): THE FACTORYVILLE FIRE COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 COLLEGE AVE
FACTORYVILLE PA
18419
US

IV. Provider business mailing address

PO BOX 275
FACTORYVILLE PA
18419-0275
US

V. Phone/Fax

Practice location:
  • Phone: 571-945-5769
  • Fax:
Mailing address:
  • Phone: 570-945-5769
  • Fax: 570-945-7252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J SCHOFIELD
Title or Position: PRESIDENT
Credential:
Phone: 570-945-5769