Provider Demographics
NPI:1588637367
Name:PLAINFIELD TOWNSHIP VOLUNTEER FIRE CO
Entity Type:Organization
Organization Name:PLAINFIELD TOWNSHIP VOLUNTEER FIRE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLSZEWSKI
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:610-588-3302
Mailing Address - Street 1:3231 FREEMANSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-7118
Mailing Address - Country:US
Mailing Address - Phone:610-253-0760
Mailing Address - Fax:610-253-7115
Practice Address - Street 1:6480 SULLIVAN TRL
Practice Address - Street 2:
Practice Address - City:WIND GAP
Practice Address - State:PA
Practice Address - Zip Code:18091-9787
Practice Address - Country:US
Practice Address - Phone:610-863-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03048341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001188645Medicaid
PA281107Medicare ID - Type Unspecified