Organization
JACKSON TWP VOL FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SLOAN (FINANCIAL OFFICER)
(814) 241-1221
Entity
Organization
Contact information
Practice address
176 ADAMS AVE, MINERAL POINT, PA 15942-5831
(814) 322-3155
Mailing address
176 ADAMS AVE, MINERAL POINT, PA 15942-5831
(143) 223-1558
(814) 322-1572
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06060
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016394500002
—
PA
01
—
246885
HIGHMARK
PA
01
—
590010988
RAILROAD MEDICARE
PA
Enumeration date
07/22/2006
Last updated
01/10/2023
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