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Organization

FAIRVIEW FIRE AND RESCUE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID P DUBROW (PRESIDENT)
(814) 474-5091
Entity
Organization

Contact information

Practice address
7190 W RIDGE RD, FAIRVIEW, PA 16415-2027
(814) 474-5091
(814) 474-5093
Mailing address
PO BOX 69, FAIRVIEW, PA 16415-0069
(814) 474-5091
(814) 474-5093

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011569190003
PA
01
280448
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/03/2007
Last updated
08/09/2016
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