Organization
SILVER LAKE VOLUNTEER FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNE WEST (ASSISTANT COMMANDER)
(607) 237-3891
Entity
Organization
Contact information
Practice address
3417 QUAKER LAKE RD, BRACKNEY, PA 18812-0133
(570) 663-2102
(570) 663-2888
Mailing address
PO BOX 133, BRACKNEY, PA 18812-0133
(570) 663-2102
(570) 663-2888
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027651918001
—
PA
01
—
1445479
HIGHMARK BLUE SHIELD
PA
01
—
816549
FIRST PRIORITY HEALTH
PA
01
—
998529
BC OF NEPA
PA
Enumeration date
09/15/2006
Last updated
04/25/2013
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