Organization
LAKE CITY FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FRANCES JOBCZYNSKI (DEPUTY CHIEF EMS)
(814) 774-4402
Entity
Organization
Contact information
Practice address
2232 RICE AVE, LAKE CITY, PA 16423-1552
(814) 774-4402
(814) 774-9556
Mailing address
2232 RICE AVE, LAKE CITY, PA 16423-1552
(814) 774-4402
(814) 774-9556
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04123
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000205083
BLUE CROSS
PA
05
—
0011498700003
—
PA
01
—
590001354
RAILROAD MEDICARE
PA
Enumeration date
01/08/2007
Last updated
07/19/2016
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