Provider Demographics
NPI:1467619262
Name:WESTERN PA SEARCH AND RESCUE DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:WESTERN PA SEARCH AND RESCUE DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARFOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-856-4357
Mailing Address - Street 1:1410 FREY RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4061
Mailing Address - Country:US
Mailing Address - Phone:412-856-4357
Mailing Address - Fax:412-372-6418
Practice Address - Street 1:1410 FREY RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4061
Practice Address - Country:US
Practice Address - Phone:412-856-4357
Practice Address - Fax:412-372-6418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103195740Medicaid