Healthcare Provider Details

I. General information

NPI: 1487792206
Provider Name (Legal Business Name): YOUNGSVILLE VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E MAIN ST
YOUNGSVILLE PA
16371-1124
US

IV. Provider business mailing address

222 E MAIN ST
YOUNGSVILLE PA
16371-1124
US

V. Phone/Fax

Practice location:
  • Phone: 814-563-4455
  • Fax:
Mailing address:
  • Phone: 814-563-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03198
License Number StatePA

VIII. Authorized Official

Name: CHRIS SPENNER
Title or Position: BILLING MGR.
Credential:
Phone: 800-473-2278