Provider Demographics
NPI:1518966803
Name:MOUNT UNION FIRE COMPANY NO 1
Entity Type:Organization
Organization Name:MOUNT UNION FIRE COMPANY NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-542-9888
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:MOUNT UNION
Mailing Address - State:PA
Mailing Address - Zip Code:17066-0276
Mailing Address - Country:US
Mailing Address - Phone:717-437-3620
Mailing Address - Fax:814-542-2469
Practice Address - Street 1:15 E MARKET ST
Practice Address - Street 2:
Practice Address - City:MOUNT UNION
Practice Address - State:PA
Practice Address - Zip Code:17066-1357
Practice Address - Country:US
Practice Address - Phone:814-542-9888
Practice Address - Fax:814-542-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA051573416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000700312Medicaid