Provider Demographics
NPI:1124112834
Name:HANOVER TOWNSHIP VOLUNTEER FIRE CO
Entity type:Organization
Organization Name:HANOVER TOWNSHIP VOLUNTEER FIRE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:VANWHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-867-2103
Mailing Address - Street 1:100 STOKE PARK RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9415
Mailing Address - Country:US
Mailing Address - Phone:610-867-2103
Mailing Address - Fax:610-867-5600
Practice Address - Street 1:100 STOKE PARK RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9415
Practice Address - Country:US
Practice Address - Phone:610-867-2103
Practice Address - Fax:610-867-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010366160001Medicaid
PA0010366160001Medicaid