MEDICARE: UNITED VOLUNTEER FIRE AND RESCUE

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	02025	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00265486	OTHER	PA	PALMETTO GBA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1431601	OTHER	PA	BLUE CROSS/BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1546209	OTHER	PA	GATEWAY HEALTH PLAN
6	424355	OTHER	PA	HEALTH AMERICA
7	711129	OTHER	PA	UPMC

General Provider Information

NPI Number	:	1649258625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED VOLUNTEER FIRE AND RESCUE

Provider Business Mailing Address
First Line	:	PO BOX 115
Second Line	:
City	:	EAST MC KEESPORT
State	:	PA
Zip	:	15035-0115
Country	:	US
Telephone Number	:	412-823-9654
Fax Number	:	412-823-9654

Provider Business Practice Location Address
First Line	:	611 BROADWAY ST
Second Line	:
City	:	EAST MC KEESPORT
State	:	PA
Zip	:	15035-1136
Country	:	US
Telephone Number	:	412-823-9654
Fax Number	:	412-823-9654

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRENNAN SITES
Credential	:
Telephone Number	:	412-823-9654

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	02/03/2010

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Directions to “UNITED VOLUNTEER FIRE AND RESCUE ” Practice Location

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