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Organization

PORT PENN VOL FIRE CO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN MARK STUCKERT (ASSISTANT CHIEF/EMS SUPERVISOR)
(302) 834-7483
Entity
Organization

Contact information

Practice address
26 W MARKET STREET, PORT PENN, DE 19731
(302) 834-7483
(302) 832-7622
Mailing address
100 W COMMONS BLVD, SUITE 210, NEW CASTLE, DE 19720-2400
(800) 697-5147
(888) 456-3155

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3573
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000669015
DE
Enumeration date
09/20/2006
Last updated
11/29/2024
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