Provider Demographics
NPI:1629295357
Name:MILFORD FIRE DEPARTMENT
Entity Type:Organization
Organization Name:MILFORD FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:DILLAN
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-982-3311
Mailing Address - Street 1:PO BOX 1369
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-2369
Mailing Address - Country:US
Mailing Address - Phone:570-296-6121
Mailing Address - Fax:570-296-4131
Practice Address - Street 1:107 W CATHERINE ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1417
Practice Address - Country:US
Practice Address - Phone:570-296-6121
Practice Address - Fax:570-296-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA050026341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA803857OtherFIRST PRIOITY
PA0016325850004OtherMEDICAL ASSISTANCE
PA0867463OtherAETNA
PA590011261OtherRR MEDICARE
PA293055Medicare ID - Type Unspecified