Provider Demographics
NPI:1508159724
Name:MUNCY AREA VOLUNTEER FIRE COMPANY INC
Entity Type:Organization
Organization Name:MUNCY AREA VOLUNTEER FIRE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:GIRVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-546-5740
Mailing Address - Street 1:35 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-1306
Mailing Address - Country:US
Mailing Address - Phone:570-546-3000
Mailing Address - Fax:570-546-3307
Practice Address - Street 1:35 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-1306
Practice Address - Country:US
Practice Address - Phone:570-546-3000
Practice Address - Fax:570-546-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA280952OtherHIGHMARK BLUE SHIELD
PA1026483300001Medicaid
078400OtherFIRST PRIORITY HEALTH
PA227644Medicare PIN
590008931Medicare PIN