Provider Demographics
NPI:1932272416
Name:OKLAHOMA VOLUNTEER FIRE DEPT
Entity type:Organization
Organization Name:OKLAHOMA VOLUNTEER FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAPORALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-568-3864
Mailing Address - Street 1:700 HOLLAND STREET
Mailing Address - Street 2:
Mailing Address - City:VANGERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1444
Mailing Address - Country:US
Mailing Address - Phone:724-568-3864
Mailing Address - Fax:724-794-1633
Practice Address - Street 1:700 HOLLAND STREET
Practice Address - Street 2:
Practice Address - City:VANGERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-1444
Practice Address - Country:US
Practice Address - Phone:724-568-3864
Practice Address - Fax:724-794-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
PA060513416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
05088311OtherAETNA US HEALTHCARE
8122OtherHEALTH AMERICA
PA0007007420005Medicaid
283162OtherHIGHMARK
PA66979Medicaid
V0V212OtherUPMC HEALTH PLAN
PA1018626Medicaid
PA0007007420001Medicaid
803266OtherBLACK LUNG
PA1018626Medicaid
803266OtherBLACK LUNG
PA0007007420001Medicaid