Provider Demographics
NPI:1821244310
Name:WILLIAMSPORT VOLUNTEER FIRE AND EMERGENCY MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:WILLIAMSPORT VOLUNTEER FIRE AND EMERGENCY MEDICAL SERVICES, INC.
Other - Org Name:WILLIAMSPORT VOL FIRE AND EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BINGAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-223-9500
Mailing Address - Street 1:892 NEW CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-4228
Mailing Address - Country:US
Mailing Address - Phone:800-280-5974
Mailing Address - Fax:800-280-5974
Practice Address - Street 1:2 BRANDY DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:MD
Practice Address - Zip Code:21795-1558
Practice Address - Country:US
Practice Address - Phone:410-479-4790
Practice Address - Fax:410-479-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD416119000Medicaid
P00702079OtherRAILROAD MEDICARE
142697OtherMEDICARE