Provider Demographics
NPI:1134115207
Name:CITY OF WARREN
Entity Type:Organization
Organization Name:CITY OF WARREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF CITY OF WARRREN
Authorized Official - Prefix:MR
Authorized Official - First Name:SANTO
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PASCUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-723-2950
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:800-473-2278
Mailing Address - Fax:
Practice Address - Street 1:314 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2334
Practice Address - Country:US
Practice Address - Phone:814-723-2950
Practice Address - Fax:814-723-3242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014089360003Medicaid
1043236OtherAETNA USHC BLUE BELL HMO
50040817OtherCAPITAL BLUE CROSS BASIC
PA223998OtherBC BS OF PA BLUE SHIELD
833811OtherUMWA HEALTH & RETIREMENT
833811OtherUMWA HEALTH & RETIREMENT
1043236OtherAETNA USHC BLUE BELL HMO
590008154Medicare ID - Type UnspecifiedUNITED HC RR