Provider Demographics
NPI:1669578431
Name:TANEYTOWN VOLUNTEER FIRE COMPANY NO 1 INCORPORATED
Entity type:Organization
Organization Name:TANEYTOWN VOLUNTEER FIRE COMPANY NO 1 INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMB CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-751-0506
Mailing Address - Street 1:PO BOX 947
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-0947
Mailing Address - Country:US
Mailing Address - Phone:717-263-5562
Mailing Address - Fax:717-263-1566
Practice Address - Street 1:39 E BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:TANEYTOWN
Practice Address - State:MD
Practice Address - Zip Code:21787-2131
Practice Address - Country:US
Practice Address - Phone:410-756-6253
Practice Address - Fax:410-751-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD051802600Medicaid
MD884QMedicare ID - Type Unspecified