MEDICARE: GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	282340	OTHER	PA	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000083245	OTHER	PA	UNISON

General Provider Information

NPI Number	:	1629042205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY

Provider Business Mailing Address
First Line	:	10160 STATION RD
Second Line	:
City	:	NORTH EAST
State	:	PA
Zip	:	16428-5704
Country	:	US
Telephone Number	:	814-725-9109
Fax Number	:	814-725-2936

Provider Business Practice Location Address
First Line	:	10160 STATION RD
Second Line	:
City	:	NORTH EAST
State	:	PA
Zip	:	16428-5704
Country	:	US
Telephone Number	:	814-725-9109
Fax Number	:	814-725-2936

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVE RATHMANN
Credential	:
Telephone Number	:	814-725-9109

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	08/02/2016

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Directions to “GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY ” Practice Location

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