Provider Demographics
NPI:1376532192
Name:MILL VILLAGE VOLUNTEER FIRE CO
Entity Type:Organization
Organization Name:MILL VILLAGE VOLUNTEER FIRE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:STEARNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-796-3661
Mailing Address - Street 1:PO BOX 6L
Mailing Address - Street 2:
Mailing Address - City:MILL VILLAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16427-0127
Mailing Address - Country:US
Mailing Address - Phone:814-796-3661
Mailing Address - Fax:814-796-3661
Practice Address - Street 1:14408 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:MILL VILLAGE
Practice Address - State:PA
Practice Address - Zip Code:16427-0008
Practice Address - Country:US
Practice Address - Phone:814-796-3661
Practice Address - Fax:814-796-3661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014800900002Medicaid
PA0014800900002Medicaid