Provider Demographics
NPI:1811977549
Name:HILLER VOLUNTEER FIRE CO
Entity type:Organization
Organization Name:HILLER VOLUNTEER FIRE CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE COMMANDER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-323-3329
Mailing Address - Street 1:409 PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1141
Mailing Address - Country:US
Mailing Address - Phone:724-887-6822
Mailing Address - Fax:724-887-9440
Practice Address - Street 1:911 FIRST ST
Practice Address - Street 2:
Practice Address - City:HILLER
Practice Address - State:PA
Practice Address - Zip Code:15444-0187
Practice Address - Country:US
Practice Address - Phone:724-785-9793
Practice Address - Fax:724-785-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008943050002Medicaid
PA590010403OtherRR MEDICARE/PALMETTO GBA
PA397357OtherMEDICARE
PA218308OtherBLUE CROSS/BLUE SHIELD
PA0008943050002Medicaid