Provider Demographics
NPI:1609199744
Name:TAFTON FIRE COMPANY INCORPORATED
Entity Type:Organization
Organization Name:TAFTON FIRE COMPANY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TANDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-226-4273
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:TAFTON
Mailing Address - State:PA
Mailing Address - Zip Code:18464-0005
Mailing Address - Country:US
Mailing Address - Phone:570-226-4273
Mailing Address - Fax:570-226-6044
Practice Address - Street 1:235 STATE ROUTE 507
Practice Address - Street 2:
Practice Address - City:TAFTON
Practice Address - State:PA
Practice Address - Zip Code:18464
Practice Address - Country:US
Practice Address - Phone:570-226-4273
Practice Address - Fax:570-226-6044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024805890001Medicaid
P00970415Medicare PIN
PA181342Medicare PIN