Healthcare Provider Details

I. General information

NPI: 1134152622
Provider Name (Legal Business Name): SPRINGDALE VOLUNTEER FIRE DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 11/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 LINCOLN AVE
SPRINGDALE PA
15144-1636
US

IV. Provider business mailing address

845 LINCOLN AVE
SPRINGDALE PA
15144-1636
US

V. Phone/Fax

Practice location:
  • Phone: 724-274-5090
  • Fax: 724-274-0451
Mailing address:
  • Phone: 724-274-5090
  • Fax: 724-274-0451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03301
License Number StatePA

VIII. Authorized Official

Name: GARY BAYNE
Title or Position: PRESIDENT
Credential:
Phone: 724-274-5090