Provider Demographics
NPI:1497754576
Name:CLAIRTON VOLUNTEER FIRE DEPARTMENT & RELIEF ASSOCIATION
Entity Type:Organization
Organization Name:CLAIRTON VOLUNTEER FIRE DEPARTMENT & RELIEF ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LATTANZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-233-8113
Mailing Address - Street 1:551 RAVENSBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-1243
Mailing Address - Country:US
Mailing Address - Phone:412-233-8113
Mailing Address - Fax:412-233-6925
Practice Address - Street 1:551 RAVENSBURG BLVD
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-1243
Practice Address - Country:US
Practice Address - Phone:412-233-8113
Practice Address - Fax:412-233-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03284341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA212896OtherMEDICARE