Provider Demographics
NPI:1952500506
Name:JAMESTOWN VOLUNTEER FIREMENS ASSOCIATION, INC.
Entity Type:Organization
Organization Name:JAMESTOWN VOLUNTEER FIREMENS ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/HIPPA COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:CADMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-866-7474
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16134-0013
Mailing Address - Country:US
Mailing Address - Phone:724-932-5009
Mailing Address - Fax:724-932-5290
Practice Address - Street 1:208 DEPOT ST.
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:PA
Practice Address - Zip Code:16134
Practice Address - Country:US
Practice Address - Phone:724-932-5009
Practice Address - Fax:724-932-5290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2008-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA430123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001015008002Medicaid
590010110OtherRAILROAD MEDICARE
1526334OtherGATEWAY INSURANCE
000000V22SOtherUPMC FOR LIFE, UPMC FOR Y
1526334OtherGATEWAY INSURANCE