Organization
EAST DEER VOLUNTEER HOSE CO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ROBINSON (CFO)
(724) 468-1212
Entity
Organization
Contact information
Practice address
927 FREEPORT RD, CREIGHTON, PA 15030-1049
(724) 468-1212
Mailing address
927 FREEPORT RD, P O BOX 303, CREIGHTON, PA 15030-1049
(724) 468-1212
(724) 468-1204
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03247
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011518790001
—
PA
Enumeration date
10/02/2006
Last updated
08/02/2007
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