Provider Demographics
NPI:1619983418
Name:TURBOTVILLE VOLUNTEER FIRE COMPANY
Entity Type:Organization
Organization Name:TURBOTVILLE VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-649-5687
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:TURBOTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17772-0008
Mailing Address - Country:US
Mailing Address - Phone:570-649-5687
Mailing Address - Fax:
Practice Address - Street 1:267 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:TURBOTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17772
Practice Address - Country:US
Practice Address - Phone:570-649-5687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040643416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018809590001Medicaid
PA0018809590001Medicaid