Provider Demographics
NPI:1164730479
Name:ELDREDSVILLE VOLUNTEER FIRE COMPANY
Entity Type:Organization
Organization Name:ELDREDSVILLE VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TORLUCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-924-5656
Mailing Address - Street 1:402 ROUTE 4007
Mailing Address - Street 2:
Mailing Address - City:FORKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18616-8984
Mailing Address - Country:US
Mailing Address - Phone:570-924-5656
Mailing Address - Fax:570-924-5656
Practice Address - Street 1:402 ROUTE 4007
Practice Address - Street 2:
Practice Address - City:FORKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18616-8984
Practice Address - Country:US
Practice Address - Phone:570-924-5656
Practice Address - Fax:570-924-5656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA234503Medicare PIN