Provider Demographics
NPI:1134124472
Name:PLEASANT HILL VOLUNTEER FIRE COMPANY
Entity Type:Organization
Organization Name:PLEASANT HILL VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CAPT.
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLOUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-465-9918
Mailing Address - Street 1:2941 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-9632
Mailing Address - Country:US
Mailing Address - Phone:717-637-7778
Mailing Address - Fax:717-637-5614
Practice Address - Street 1:3003 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-8442
Practice Address - Country:US
Practice Address - Phone:717-637-7778
Practice Address - Fax:717-637-5614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA01952341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0076875350002Medicaid
PA284277Medicare PIN