Organization
LAPORTE BOROUGH VOLUNTEER FIRE COMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR I MILLER (AMBULANCE CAPTAIN)
(570) 946-4136
Entity
Organization
Contact information
Practice address
114 MAPLE ST, LAPORTE, PA 18626-0114
(570) 946-4136
(570) 946-4324
Mailing address
PO BOX 31, LAPORTE, PA 18626-0031
(570) 946-4136
(570) 946-4324
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017438330004
—
PA
Enumeration date
07/13/2006
Last updated
02/24/2016
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