Organization
LAKE MEADE FIRE & RESCUE INC
Active
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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