Healthcare Provider Details

I. General information

NPI: 1306847637
Provider Name (Legal Business Name): SAXTON VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8TH & NORRIS ST
SAXTON PA
16678
US

IV. Provider business mailing address

PO BOX 726
NEW CUMBERLAND PA
17070-0726
US

V. Phone/Fax

Practice location:
  • Phone: 814-635-2231
  • Fax: 814-635-3045
Mailing address:
  • Phone: 717-214-6018
  • Fax: 717-214-6020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number02294
License Number StatePA

VIII. Authorized Official

Name: TOM STOUDNOUR
Title or Position: BILLING OFFICER
Credential:
Phone: 814-635-2231