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Organization

RENNERDALE VOLUNTEER FIRE DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHLEEN RUFFENNACH EMTP (EMS DIRECTOR)
(412) 400-8012
Entity
Organization

Contact information

Practice address
30 SUBURBAN AVE, CARNEGIE, PA 15106-1489
(412) 276-9652
Mailing address
30 SUBURBAN AVE, CARNEGIE, PA 15106-1489
(412) 276-9652

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
01248
PA
3416L0300X
Land Ambulance
Primary
04251
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011914800001
PA
01
203819
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/08/2007
Last updated
05/06/2014
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