Organization
HANOVER VOLUNTEER FIRE DEPARTMENT BEAVER COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY TELLISH (CHIEF)
(724) 601-0220
Entity
Organization
Contact information
Practice address
2697 ROUTE 18, HOOKSTOWN, PA 15050
(724) 899-3144
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
04006
PA
3416L0300X
Land Ambulance
Primary
06088
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014951630001
—
PA
Enumeration date
11/09/2005
Last updated
02/07/2008
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