Provider Demographics
NPI:1225187040
Name:NEW CENTERVILLE & RURAL VOL. FIRE CO.
Entity Type:Organization
Organization Name:NEW CENTERVILLE & RURAL VOL. FIRE CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECORD CUSTODIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:EMTA
Authorized Official - Phone:814-926-4333
Mailing Address - Street 1:2602 SCULLTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15557-7867
Mailing Address - Country:US
Mailing Address - Phone:814-926-4308
Mailing Address - Fax:814-926-3637
Practice Address - Street 1:3054 KINGWOOD RD
Practice Address - Street 2:
Practice Address - City:ROCKWOOD
Practice Address - State:PA
Practice Address - Zip Code:15557-6612
Practice Address - Country:US
Practice Address - Phone:814-926-4333
Practice Address - Fax:814-926-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA56010341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA281829Medicare NSC