Provider Demographics
NPI:1922020973
Name:MONROEVILLE VOLUNTEER FIRE CO 1
Entity Type:Organization
Organization Name:MONROEVILLE VOLUNTEER FIRE CO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / BILLING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SONAFELT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:412-824-1122
Mailing Address - Street 1:122 ELMWOOD STREET
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4032
Mailing Address - Country:US
Mailing Address - Phone:412-824-1122
Mailing Address - Fax:412-824-3351
Practice Address - Street 1:122 ELMWOOD STREET
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4032
Practice Address - Country:US
Practice Address - Phone:412-824-1122
Practice Address - Fax:412-824-3351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA020673416L0300X
PA052323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
78824OtherUNISON
590008687OtherRR MEDICARE
1018743OtherGATEWAY HP
PA0012127690001Medicaid
PA283053Medicare UPIN