Organization
BLOOMFIELD TOWNSHIP VFD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L KALKBRENNER (TREASURER)
(814) 654-7303
Entity
Organization
Contact information
Practice address
22978 SHREVE RIDGE RD, UNION CITY, PA 16438-3550
(814) 807-0670
(814) 807-0673
Mailing address
PO BOX 61, MEADVILLE, PA 16335-0061
(814) 807-0670
(814) 807-0673
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04012
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007603010004
—
PA
Enumeration date
02/05/2007
Last updated
05/06/2013
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