Organization
CHICORA INDEPENDENT HOSE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TURNER (EXECUTIVE DIRECTOR)
(724) 445-2220
Entity
Organization
Contact information
Practice address
202 WEST SLIPPERY ROCK ST, CHICORA, PA 16025-3214
(724) 445-2220
(724) 445-2167
Mailing address
202 WEST SLIPPERY ROCK ST, CHICORA, PA 16025-3214
(724) 445-2220
(724) 445-2167
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06004
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010621510001
—
PA
Enumeration date
10/12/2006
Last updated
09/01/2015
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