Provider Demographics
NPI:1710957196
Name:RENO VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:RENO VOLUNTEER FIRE DEPARTMENT
Other - Org Name:RENO VOLUNTEER FIRE DEPT EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-671-2286
Mailing Address - Street 1:409 PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1141
Mailing Address - Country:US
Mailing Address - Phone:724-887-6822
Mailing Address - Fax:724-887-9440
Practice Address - Street 1:10 4TH STREET
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:PA
Practice Address - Zip Code:16343
Practice Address - Country:US
Practice Address - Phone:814-676-2257
Practice Address - Fax:814-678-2937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA991283416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014855600002Medicaid
PA225427OtherBLUE CROSS/BLUE SHIELD
PA00155196OtherRR MEDICARE/PALMETTO GBA
PA00155196OtherRR MEDICARE/PALMETTO GBA
PA0014855600002Medicaid