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Organization

LAKE MEADE FIRE & RESCUE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE BRANDT (TRUSTEE ASSISTANT CHIEF)
(717) 259-8338
Entity
Organization

Contact information

Practice address
492 LAKE MEADE DR, EAST BERLIN, PA 17316-9345
(717) 259-8338
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03130
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017519150001
PA
01
0899588
AETNA USHC BLUE BELL HMO
01
284924
BCBS
PA
Enumeration date
10/12/2005
Last updated
11/01/2011
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