Organization
SUGAR GROVE VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J CHASE (EMS LEADER/TRUSTEE)
(814) 489-7852
Entity
Organization
Contact information
Practice address
11 WILSON ST., SUGAR GROVE, PA 16350
(814) 489-7852
Mailing address
PO BOX 338, SUGAR GROVE, PA 16350-0338
(814) 489-7852
(814) 489-5443
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015682140001
—
PA
01
—
424828
HEALTH ASSURANCE/HEALTH AMERICA
PA
Enumeration date
05/23/2006
Last updated
06/29/2016
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