Provider Demographics
NPI:1174503189
Name:BATH VOLUNTEER FIRE FIGHTERS AND AMBULANCE CORPS INC
Entity Type:Organization
Organization Name:BATH VOLUNTEER FIRE FIGHTERS AND AMBULANCE CORPS INC
Other - Org Name:BATH FIREFIGHTERS AND AMBULANCE CORP
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT AMBULANCE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:T
Authorized Official - Last Name:DALPEZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-837-6400
Mailing Address - Street 1:121 CENTER ST
Mailing Address - Street 2:STE B
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014-1075
Mailing Address - Country:US
Mailing Address - Phone:610-837-6400
Mailing Address - Fax:610-837-4101
Practice Address - Street 1:121 CENTER ST
Practice Address - Street 2:STE B
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014-1075
Practice Address - Country:US
Practice Address - Phone:610-837-6400
Practice Address - Fax:610-837-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015776700002Medicaid
590013335OtherRR MEDICARE
PA049134Medicare PIN