Provider Demographics
NPI:1619902210
Name:THE WHITE MILLS FIRE DEPARTMENT
Entity Type:Organization
Organization Name:THE WHITE MILLS FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:F
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-253-4433
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:WHITE MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:18473-0273
Mailing Address - Country:US
Mailing Address - Phone:570-253-4433
Mailing Address - Fax:570-253-6777
Practice Address - Street 1:695 TEXAS PALMYRA HWY
Practice Address - Street 2:
Practice Address - City:WHITE MILLS
Practice Address - State:PA
Practice Address - Zip Code:18473-0273
Practice Address - Country:US
Practice Address - Phone:570-253-4433
Practice Address - Fax:570-253-6777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
35071OtherHEALTH PARTNERS
PA0016911920002Medicaid
1691192OtherUPMC
590012069Medicare PIN
PA200200Medicare PIN