Organization
GORDONVILLE FIRE COMPANY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SPENNER (BILLING MANAGER)
(484) 664-2007
Entity
Organization
Contact information
Practice address
OLD LEACOCK AND VIGILANT STREETS, GORDONVILLE, PA 17529
(717) 768-3869
Mailing address
5925 TILGHMAN ST, SUITE 1000, ALLENTOWN, PA 18104-9156
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014882600001
—
PA
Enumeration date
02/16/2007
Last updated
05/06/2011
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