Provider Demographics
NPI:1972372563
Name:IRWIN FIRE DEPARTMENT EMS
Entity Type:Organization
Organization Name:IRWIN FIRE DEPARTMENT EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DEFELICE
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:724-493-4196
Mailing Address - Street 1:518 WESTERN AVE # EMS
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3417
Mailing Address - Country:US
Mailing Address - Phone:724-864-3106
Mailing Address - Fax:724-864-3107
Practice Address - Street 1:518 WESTERN AVE # EMS
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3417
Practice Address - Country:US
Practice Address - Phone:724-864-3106
Practice Address - Fax:724-864-3107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-25
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance