Provider Demographics
NPI:1366418766
Name:BOROUGH OF CHAMBERSBURG
Entity type:Organization
Organization Name:BOROUGH OF CHAMBERSBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOROUGH OF CHAMBERSBURG TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:CASIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RZOMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-261-3248
Mailing Address - Street 1:100 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2515
Mailing Address - Country:US
Mailing Address - Phone:717-261-3256
Mailing Address - Fax:717-263-2381
Practice Address - Street 1:130 N 2ND ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1697
Practice Address - Country:US
Practice Address - Phone:717-261-3230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04073146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007009670001Medicaid
PA281040Medicare PIN