Provider Demographics
NPI:1144276866
Name:HEPBURN TOWNSHIP VOLUNTEER FIRE COMPANY
Entity type:Organization
Organization Name:HEPBURN TOWNSHIP VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:TEMPESCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-494-0411
Mailing Address - Street 1:PO BOX 256
Mailing Address - Street 2:
Mailing Address - City:COGAN STATION
Mailing Address - State:PA
Mailing Address - Zip Code:17728-0256
Mailing Address - Country:US
Mailing Address - Phone:570-494-0411
Mailing Address - Fax:570-494-2148
Practice Address - Street 1:615 ROUTE 973 EAST
Practice Address - Street 2:
Practice Address - City:COGAN STATION
Practice Address - State:PA
Practice Address - Zip Code:17728-9116
Practice Address - Country:US
Practice Address - Phone:570-494-0411
Practice Address - Fax:570-494-2148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00321398OtherRAILROAD
PA1017369020001Medicaid
PA1017369020001Medicaid