Provider Demographics
NPI:1659418796
Name:MESHOPPEN VOLUNTEER FIRE CO
Entity Type:Organization
Organization Name:MESHOPPEN VOLUNTEER FIRE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-833-2293
Mailing Address - Street 1:PO BOX 118
Mailing Address - Street 2:
Mailing Address - City:MESHOPPEN
Mailing Address - State:PA
Mailing Address - Zip Code:18630-0118
Mailing Address - Country:US
Mailing Address - Phone:570-833-2293
Mailing Address - Fax:570-833-2156
Practice Address - Street 1:118 CANAL ST
Practice Address - Street 2:
Practice Address - City:MESHOPPEN
Practice Address - State:PA
Practice Address - Zip Code:18630
Practice Address - Country:US
Practice Address - Phone:570-833-2293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018834990001Medicaid
P00407354Medicare PIN
PA109287Medicare PIN