Provider Demographics
NPI:1255356036
Name:HILLSGROVE VOLUNTEER FIRE COMPANY
Entity type:Organization
Organization Name:HILLSGROVE VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-924-3585
Mailing Address - Street 1:PO BOX 79
Mailing Address - Street 2:
Mailing Address - City:HILLSGROVE
Mailing Address - State:PA
Mailing Address - Zip Code:18619-0079
Mailing Address - Country:US
Mailing Address - Phone:570-924-3585
Mailing Address - Fax:570-924-4660
Practice Address - Street 1:2232 ROUTE 87
Practice Address - Street 2:
Practice Address - City:HILLSGROVE
Practice Address - State:PA
Practice Address - Zip Code:18619-0079
Practice Address - Country:US
Practice Address - Phone:570-924-3585
Practice Address - Fax:570-924-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007987840003Medicaid
PA281554Medicare PIN