Provider Demographics
NPI:1962867382
Name:UNION CITY VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:UNION CITY VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFFERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-438-3331
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16438-0067
Mailing Address - Country:US
Mailing Address - Phone:814-438-3331
Mailing Address - Fax:
Practice Address - Street 1:50 2ND AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:PA
Practice Address - Zip Code:16438-1244
Practice Address - Country:US
Practice Address - Phone:814-438-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031163520001Medicaid
PA1031163520001Medicaid
590130812Medicare PIN