Provider Demographics
NPI:1073662433
Name:PLATEA VOLUNTEER FIRE COMPANY, INC
Entity Type:Organization
Organization Name:PLATEA VOLUNTEER FIRE COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-774-9291
Mailing Address - Street 1:10012 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417-9214
Mailing Address - Country:US
Mailing Address - Phone:814-774-8473
Mailing Address - Fax:
Practice Address - Street 1:10012 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417-9214
Practice Address - Country:US
Practice Address - Phone:814-774-8473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2503297341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA283976Medicare PIN