Organization
COVINGTON INDEPENDENT VOLUNTEER FIRE CO
Active
Organization
COVINGTON INDEPENDENT VOLUNTEER FIRE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST M PIERCE (TREASURER)
(570) 842-4130
Entity
Organization
Contact information
Practice address
452 DALEVILLE HWY, COVINGTON TOWNSHIP, PA 18444-7835
(570) 842-4130
(570) 842-9458
Mailing address
452 DALEVILLE HWY, COVINGTON TOWNSHIP, PA 18444-7835
(570) 842-4130
(570) 842-9458
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017651240002
—
PA
01
—
20017017
AMERIHEALTH MERCY HEALTH PLAN
PA
01
—
2385294
AETNA
PA
Enumeration date
05/17/2006
Last updated
06/12/2015
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