Organization
BEECH CREEK-BLANCHARD VOLUNTEER FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE L SHADY (PRESIDENT)
(570) 962-2382
Entity
Organization
Contact information
Practice address
38 LOCUST ST, BEECH CREEK, PA 16822-6803
(570) 962-2382
(570) 962-2333
Mailing address
PO BOX 144, BEECH CREEK, PA 16822-0144
(570) 962-2382
(570) 962-2333
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027970720001
—
PA
Enumeration date
10/15/2012
Last updated
05/17/2013
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