Organization
PARKSIDE FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE EDITH DIDOMENICO EMT-P (EMS CHIEF)
(610) 872-6136
Entity
Organization
Contact information
Practice address
107 WEST ROLAND, PARKSIDE, PA 19015
(610) 872-6136
(610) 872-6159
Mailing address
107 W ROLAND RD, PARKSIDE, PA 19015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007826680001
—
PA
Enumeration date
01/25/2007
Last updated
08/22/2020
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