Provider Demographics
NPI:1922199140
Name:LINESVILLE VOLUNTEER FIRE DEPT INC
Entity Type:Organization
Organization Name:LINESVILLE VOLUNTEER FIRE DEPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-683-5411
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:LINESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16424-0055
Mailing Address - Country:US
Mailing Address - Phone:814-683-5411
Mailing Address - Fax:
Practice Address - Street 1:200 PENN ST
Practice Address - Street 2:
Practice Address - City:LINESVILLE
Practice Address - State:PA
Practice Address - Zip Code:16424-9218
Practice Address - Country:US
Practice Address - Phone:814-683-5411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006999190005Medicaid
PA44319OtherHEALTH AMERICA
065688OtherMEDICARE
PA0006999190005Medicaid