Provider Demographics
NPI:1134336274
Name:ALBION VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:ALBION 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:G
Authorized Official - Last Name:BRADDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-756-4210
Mailing Address - Street 1:19 SMOCK AVE
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:PA
Mailing Address - Zip Code:16401-1113
Mailing Address - Country:US
Mailing Address - Phone:814-756-4210
Mailing Address - Fax:814-756-4607
Practice Address - Street 1:19 SMOCK AVE
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:PA
Practice Address - Zip Code:16401-1113
Practice Address - Country:US
Practice Address - Phone:814-756-4210
Practice Address - Fax:814-756-4607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026604240001Medicaid
PA197090Medicare PIN
P00994144Medicare PIN