Organization
MODENA FIRE COMPANY NO 1
Active
Other names
Modena Fire Company
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S DOWLIN (E.M.S. CHIEF)
(610) 384-3106
Entity
Organization
Contact information
Practice address
5 N BRANDYWINE AVE, COATESVILLE, PA 19320-4432
(610) 384-1311
Mailing address
5 N BRANDYWINE AVE, COATESVILLE, PA 19320-4432
(610) 384-1311
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05017
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007060580002
—
PA
01
—
0027023000
IBX
PA
01
—
0770085000
IBX
PA
Enumeration date
08/13/2006
Last updated
04/23/2018
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