Organization
GOOD WILL FIRE COMPANY NO 1 OF MINERSVILLE
Active
Organization
GOOD WILL FIRE COMPANY NO 1 OF MINERSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN REBER (PRESIDENT)
(570) 544-6099
Entity
Organization
Contact information
Practice address
25 NORTH ST, MINERSVILLE, PA 17954-1400
(570) 544-9635
(570) 544-9634
Mailing address
25 NORTH ST, MINERSVILLE, PA 17954-1400
(570) 544-9635
(570) 544-9634
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012546150004
—
PA
Enumeration date
07/09/2005
Last updated
12/16/2011
Update your record
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