Provider Demographics
NPI:1942254941
Name:COMMUNITY FIRE CO OF MILLINGTON INC.
Entity Type:Organization
Organization Name:COMMUNITY FIRE CO OF MILLINGTON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CJ
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-708-7208
Mailing Address - Street 1:409 PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1141
Mailing Address - Country:US
Mailing Address - Phone:724-887-6822
Mailing Address - Fax:724-887-9440
Practice Address - Street 1:185 SASSAFRAS ST
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:MD
Practice Address - Zip Code:21651-2055
Practice Address - Country:US
Practice Address - Phone:410-928-3171
Practice Address - Fax:724-887-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1FDKE30M1RHB57027341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD231SMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER