Healthcare Provider Details

I. General information

NPI: 1922199140
Provider Name (Legal Business Name): LINESVILLE VOLUNTEER FIRE DEPT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PENN ST
LINESVILLE PA
16424-9218
US

IV. Provider business mailing address

PO BOX 55
LINESVILLE PA
16424-0055
US

V. Phone/Fax

Practice location:
  • Phone: 814-683-5411
  • Fax:
Mailing address:
  • Phone: 814-683-5411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHARLES ROBINSON
Title or Position: PRESIDENT
Credential:
Phone: 814-683-5411