Provider Demographics
NPI:1134157134
Name:TRAPPE FIRE COMPANY NO 1
Entity type:Organization
Organization Name:TRAPPE FIRE COMPANY NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPKOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-489-2700
Mailing Address - Street 1:20 WEST 5TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2102
Mailing Address - Country:US
Mailing Address - Phone:610-489-2700
Mailing Address - Fax:610-409-8554
Practice Address - Street 1:20 WEST 5TH AVENUE
Practice Address - Street 2:
Practice Address - City:TRAPPE
Practice Address - State:PA
Practice Address - Zip Code:19426-2102
Practice Address - Country:US
Practice Address - Phone:610-489-2700
Practice Address - Fax:610-409-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03173341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007599000001Medicaid
282441Medicare PIN