Organization
ENON VALLEY COMMUNITY VOLUNTEER FIRE DEPT. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY C. STEAR SR. (PRESIDENT)
(724) 336-4517
Entity
Organization
Contact information
Practice address
95 CASS ST., ENON VALLEY, PA 16120-0275
(724) 336-4696
(724) 336-3143
Mailing address
PO BOX 275, ENON VALLEY, PA 16120-0275
(724) 336-4696
(724) 336-3143
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05204
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000902470002
—
PA
01
—
1039382
GATEWAY
PA
Enumeration date
10/17/2006
Last updated
08/28/2007
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