Provider Demographics
NPI:1861488835
Name:THE COCHRANTON VOLUNTEER FIRE DEPARTMENT AND RELIEF ASSOCIATION
Entity Type:Organization
Organization Name:THE COCHRANTON VOLUNTEER FIRE DEPARTMENT AND RELIEF ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:STOCKTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-425-2111
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:484-664-2007
Mailing Address - Fax:484-664-2015
Practice Address - Street 1:113 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:COCHRANTON
Practice Address - State:PA
Practice Address - Zip Code:16314-8603
Practice Address - Country:US
Practice Address - Phone:814-425-2111
Practice Address - Fax:814-425-1303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008347910004Medicaid
0589370OtherAETNA USHC BLUE BELL HMO
590130902OtherUNITED HC RR MEDICARE
609293700OtherDEPT OF LABOR WORK COMP
217128OtherUPMC HEALTH PLAN COMMERIC
287231OtherBCBS OF PA BLUE SHIELD
PA0008347910004Medicaid