FELLOWS CLUB VOLUNTEER FIRE DEPT; NPI #1962422550

Contact Information

FELLOWS CLUB VOLUNTEER FIRE DEPT

1015 STRAWBERRY ALLEY
CONNEAUTVILLE, PA 16406

Phone: 814-587-2876
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for FELLOWS CLUB VOLUNTEER FIRE DEPT

NPI # 1962422550

LBN Legal business name FELLOWS CLUB VOLUNTEER FIRE DEPT

Authorized official GERALD CARLESS - (TREASURER/AMBULANCE CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/19/2006

Last updated 06/21/2016 - About 10 years ago

Identifiers

PA	Medicaid	0015664520003
PA	Other	336903	HEALTH AMERICA
PA	Other	50149	HEALTH ASSURANCE
PA	Other	0015664520003	ION HEALTH

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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