Organization Name: | VERSAILLES VFC #1 |
NPI Number: | 1023234259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NASHAUN FORNEY (CFO) |
Mailing Address: | 4919 Third Street Mckeesport |
State: | PA US |
Postal Code: | 151326222 |
Phone Number: | 4127513603 |
Fax Number: | 4127515909 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 04161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |