Provider Demographics
NPI:1750498747
Name:MUNCY VALLEY AREA VOL FIRE CO
Entity Type:Organization
Organization Name:MUNCY VALLEY AREA VOL FIRE CO
Other - Org Name:MUNCY VALLEY AREA VOLUNTEER FIRE COMPANY NO. 1
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-482-2800
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 1:11997 RT 42
Practice Address - Street 2:
Practice Address - City:MUNCY VALLEY
Practice Address - State:PA
Practice Address - Zip Code:17758-8892
Practice Address - Country:US
Practice Address - Phone:570-482-2800
Practice Address - Fax:570-482-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03133341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012083720004Medicaid
PA0012083720004Medicaid