Organization
GREENFIELD TWP. VOL. FIRE CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W WHITELAVICH (EMS CAPTAIN)
(570) 282-4981
Entity
Organization
Contact information
Practice address
424 ROUTE 106, GREENFIELD TOWNSHIP, PA 18407-3904
(570) 282-4981
Mailing address
424 ROUTE 106, GREENFIELD TOWNSHIP, PA 18407-3904
(570) 282-5652
(570) 282-5653
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011561250001
—
PA
01
—
1628123
BC NEPA ACCESS CARE 2
PA
01
—
218247
BCBS SECURITY 65
PA
01
—
2304952000
PERSONAL CHOICE
PA
01
—
590015556
RAILROAD MEDICARE
PA
01
—
814485
FIRST PRIORITY HEALTH
PA
01
—
998541
BCBS MAJOR MEDICAL
PA
Enumeration date
11/30/2006
Last updated
10/16/2012
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