MEDICARE: RENO VOLUNTEER FIRE DEPARTMENT

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	99128	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710957196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENO VOLUNTEER FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	409 PORTER AVE
Second Line	:
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-1141
Country	:	US
Telephone Number	:	724-887-6822
Fax Number	:	724-887-9440

Provider Business Practice Location Address
First Line	:	10 4TH STREET
Second Line	:
City	:	RENO
State	:	PA
Zip	:	16343
Country	:	US
Telephone Number	:	814-676-2257
Fax Number	:	814-678-2937

Authorized Official
Title or Position	:	CAPTAIN
Name	:	BEVERLY MARVIN
Credential	:
Telephone Number	:	814-671-2286

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	12/06/2022

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Directions to “RENO VOLUNTEER FIRE DEPARTMENT ” Practice Location

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