Organization
RALSTON VOLUNTEER FIRE COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWNY L DIETRICK EMT-P (SECRETARY, AMBULANCE CAPTAIN)
(570) 995-5555
Entity
Organization
Contact information
Practice address
10970 RT 14, RALSTON, PA 17763-0001
(570) 995-5555
(570) 995-9118
Mailing address
PO BOX 1, RALSTON, PA 17763-0001
(570) 995-5555
(570) 995-9118
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03159
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017009250003
—
PA
01
—
808283
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
07/07/2005
Last updated
11/02/2017
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