Organization
GOOD FELLOWSHIP CLUB OF CHESTER COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY N BOSSERT (CHIEF OPERATING OFFICER)
(610) 431-8780
Entity
Organization
Contact information
Practice address
600 MONTGOMERY AVE, WEST CHESTER, PA 19380-4429
(610) 431-3132
(610) 840-0413
Mailing address
PO BOX 361, WEST CHESTER, PA 19381-0361
(610) 431-3132
(610) 840-0415
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
03056
PA
3416L0300X
Land Ambulance
Primary
06034
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007127520001
—
PA
Enumeration date
10/28/2005
Last updated
08/06/2019
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