Provider Demographics
NPI:1629042205
Name:GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY
Entity Type:Organization
Organization Name:GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY
Other - Org Name:GREENFIELD TWP VOL FIRE CO EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-725-9109
Mailing Address - Street 1:10160 STATION RD
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428-5704
Mailing Address - Country:US
Mailing Address - Phone:814-725-9109
Mailing Address - Fax:814-725-2936
Practice Address - Street 1:10160 STATION RD
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:PA
Practice Address - Zip Code:16428-5704
Practice Address - Country:US
Practice Address - Phone:814-725-9109
Practice Address - Fax:814-725-2936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-13
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA282340OtherBLUE CROSS/BLUE SHIELD
PA0010915740003Medicaid
PA000000083245OtherUNISON
PA0010915740003Medicaid
PA000000083245OtherUNISON
PA0010915740003Medicaid