Organization
TRAINER FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A FASAN (PRESIDENT)
(484) 368-7602
Entity
Organization
Contact information
Practice address
3529 W 3RD STREET, TRAINER, PA 19061-5109
(610) 494-8711
(610) 494-1296
Mailing address
PO BOX 42973, PHILADELPHIA, PA 19101
(610) 532-9444
(610) 532-9911
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03337
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017535620001
—
PA
01
—
0033277000
IBC
PA
01
—
590006807
PALMETTO GBA RR MEDICARE
PA
Enumeration date
01/23/2007
Last updated
06/26/2008
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