Provider Demographics
NPI:1336292762
Name:MONROEVILLE VOLUNTEER FIRE DEPT. #5
Entity Type:Organization
Organization Name:MONROEVILLE VOLUNTEER FIRE DEPT. #5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:KUZINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-372-4444
Mailing Address - Street 1:100 SECO RD
Mailing Address - Street 2:PO BOX 156
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1418
Mailing Address - Country:US
Mailing Address - Phone:412-372-4444
Mailing Address - Fax:412-373-9090
Practice Address - Street 1:100 SECO RD
Practice Address - Street 2:BOX 156
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1418
Practice Address - Country:US
Practice Address - Phone:412-372-4444
Practice Address - Fax:412-373-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02067341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009937420001OtherPUBLIC AID
PA283498Medicare ID - Type Unspecified