Provider Demographics
NPI:1477657765
Name:THE FACTORYVILLE FIRE COMPANY INC
Entity Type:Organization
Organization Name:THE FACTORYVILLE FIRE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHOFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-945-5769
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:FACTORYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18419-0275
Mailing Address - Country:US
Mailing Address - Phone:570-945-5769
Mailing Address - Fax:570-945-7252
Practice Address - Street 1:120 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FACTORYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18419
Practice Address - Country:US
Practice Address - Phone:571-945-5769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012427680001Medicaid
PA280713Medicare PIN
590908425Medicare PIN