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Organization

HANOVER VOLUNTEER FIRE DEPARTMENT BEAVER COUNTY

Active
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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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