Provider Demographics
NPI:1467428284
Name:METAL TOWNSHIP FIRE AND AMBULANCE COMPANY INC
Entity Type:Organization
Organization Name:METAL TOWNSHIP FIRE AND AMBULANCE COMPANY INC
Other - Org Name:METAL TOWNSHIP FIRE & AMBULANCE COMPANY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-349-2121
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:FANNETTSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17221-0185
Mailing Address - Country:US
Mailing Address - Phone:717-349-2121
Mailing Address - Fax:717-349-7966
Practice Address - Street 1:10862 PATH VALLEY RD
Practice Address - Street 2:
Practice Address - City:FANNETTSBURG
Practice Address - State:PA
Practice Address - Zip Code:17221-0185
Practice Address - Country:US
Practice Address - Phone:717-349-2121
Practice Address - Fax:717-349-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015199900005Medicaid
PA590007672OtherRAILROAD MEDICARE
PA219653Medicare PIN