Provider Demographics
NPI:1649258625
Name:UNITED VOLUNTEER FIRE AND RESCUE
Entity type:Organization
Organization Name:UNITED VOLUNTEER FIRE AND RESCUE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-823-9654
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:EAST MC KEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15035-0115
Mailing Address - Country:US
Mailing Address - Phone:412-823-9654
Mailing Address - Fax:412-823-9654
Practice Address - Street 1:611 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:EAST MC KEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15035-1136
Practice Address - Country:US
Practice Address - Phone:412-823-9654
Practice Address - Fax:412-823-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA020253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00265486OtherPALMETTO GBA
PA0077874880001Medicaid
PA1431601OtherBLUE CROSS/BLUE SHIELD
PA0077874880002Medicaid
PA1546209OtherGATEWAY HEALTH PLAN
PA424355OtherHEALTH AMERICA
PA711129OtherUPMC
PA1546209OtherGATEWAY HEALTH PLAN