Provider Demographics
NPI:1447303391
Name:SAXONBURG VOLUNTEER FIRE COMPANY
Entity type:Organization
Organization Name:SAXONBURG VOLUNTEER FIRE COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:724-352-3300
Mailing Address - Street 1:210 HORNE AVE.
Mailing Address - Street 2:
Mailing Address - City:SAXONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16056-9502
Mailing Address - Country:US
Mailing Address - Phone:855-978-6297
Mailing Address - Fax:888-972-9641
Practice Address - Street 1:210 HORNE AVE
Practice Address - Street 2:
Practice Address - City:SAXONBURG
Practice Address - State:PA
Practice Address - Zip Code:16056-9502
Practice Address - Country:US
Practice Address - Phone:855-978-6297
Practice Address - Fax:888-972-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10014341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA284393Medicare ID - Type UnspecifiedPROVIDER #