Organization
LEEDOM FIRE COMPANY NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN YEAGER (PRESIDENT)
(484) 881-2258
Entity
Organization
Contact information
Practice address
DARBY RD AND CLYMER LA, RIDLEY PARK, PA 19078
(610) 532-5555
Mailing address
PO BOX 42973, PHILADELPHIA, PA 19101
(610) 532-9444
(610) 532-9911
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
03312
PA
3416L0300X
Land Ambulance
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012118790001
—
PA
01
—
590006861
RAILROAD MEDICARE
PA
Enumeration date
02/09/2007
Last updated
11/05/2012
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