Provider Demographics
NPI:1093835993
Name:THORNHURST VOLUNTEER FIRE AND RESCUE CO
Entity Type:Organization
Organization Name:THORNHURST VOLUNTEER FIRE AND RESCUE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RINEHIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-460-1796
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:POCONO LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:18347-0385
Mailing Address - Country:US
Mailing Address - Phone:570-842-2335
Mailing Address - Fax:570-848-2671
Practice Address - Street 1:HC1 BOX 125
Practice Address - Street 2:RIVER ROAD
Practice Address - City:THORNHURST
Practice Address - State:PA
Practice Address - Zip Code:18424-9312
Practice Address - Country:US
Practice Address - Phone:570-842-2335
Practice Address - Fax:570-848-2671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017975200004Medicaid
PA035795Medicare PIN