Healthcare Provider Details

I. General information

NPI: 1629042205
Provider Name (Legal Business Name): GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10160 STATION RD
NORTH EAST PA
16428-5704
US

IV. Provider business mailing address

10160 STATION RD
NORTH EAST PA
16428-5704
US

V. Phone/Fax

Practice location:
  • Phone: 814-725-9109
  • Fax: 814-725-2936
Mailing address:
  • Phone: 814-725-9109
  • Fax: 814-725-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEVE RATHMANN
Title or Position: PRESIDENT
Credential:
Phone: 814-725-9109