Provider Demographics
NPI:1396716098
Name:HUGHESVILLE VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:HUGHESVILLE VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADERHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-584-3940
Mailing Address - Street 1:700 HIGH STREET
Mailing Address - Street 2:C/O WILLIAMSPORT AREA AMBULANCE SERVICE
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-3109
Mailing Address - Country:US
Mailing Address - Phone:570-321-2003
Mailing Address - Fax:570-321-2263
Practice Address - Street 1:CORNER RAILROAD STREET AND WATER STREET
Practice Address - Street 2:
Practice Address - City:HUGHESVILLE
Practice Address - State:PA
Practice Address - Zip Code:17737
Practice Address - Country:US
Practice Address - Phone:570-584-3940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA410043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA069677OtherFIRST PRIORITY HEALTH
PW998522OtherBLUE CROSS BLUE SHIELD
PA0012073100004Medicaid
PA069677OtherFIRST PRIORITY HEALTH
PW998522OtherBLUE CROSS BLUE SHIELD
PA0012073100004Medicaid