Provider Demographics
NPI:1578771291
Name:MUNCY TOWNSHIP VOLUNTEER FIRE
Entity Type:Organization
Organization Name:MUNCY TOWNSHIP VOLUNTEER FIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:CFO TREASURER
Authorized Official - Phone:570-970-0732
Mailing Address - Street 1:19 W WATER ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-1009
Mailing Address - Country:US
Mailing Address - Phone:570-546-5925
Mailing Address - Fax:570-546-5927
Practice Address - Street 1:261 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:PENNSDALE
Practice Address - State:PA
Practice Address - Zip Code:17756-6605
Practice Address - Country:US
Practice Address - Phone:570-546-3700
Practice Address - Fax:570-546-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03344341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011967810003Medicaid
PA590000036OtherRAILROAD MEDICARE
PA0011967810003Medicaid