Provider Demographics
NPI:1922045202
Name:BOSWELL VOLUNTEER FIRE DEPT INC
Entity Type:Organization
Organization Name:BOSWELL VOLUNTEER FIRE DEPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMANDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-629-9488
Mailing Address - Street 1:606 HOWER AVE
Mailing Address - Street 2:
Mailing Address - City:BOSWELL
Mailing Address - State:PA
Mailing Address - Zip Code:15531-1113
Mailing Address - Country:US
Mailing Address - Phone:814-629-9488
Mailing Address - Fax:
Practice Address - Street 1:606 HOWER AVE
Practice Address - Street 2:
Practice Address - City:BOSWELL
Practice Address - State:PA
Practice Address - Zip Code:15531-1113
Practice Address - Country:US
Practice Address - Phone:814-629-8348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA042003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA214450OtherHIGHMARK
PA0012179520001Medicaid
PAP00421503OtherRR MEDICARE
PA0012179520001Medicaid