Organization
LOYALSOCK VOLUNTEER FIRE COMPANY NUMBER ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C MINNIER (AUTHORIZED OFFICIAL)
(570) 323-3603
Entity
Organization
Contact information
Practice address
715 NORTHWAY RD, WILLIAMSPORT, PA 17701-3813
(570) 323-3603
(570) 323-5060
Mailing address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-3032
(570) 321-2263
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
06012
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007038980002
—
PA
01
—
590145024
RAILROAD
PA
Enumeration date
12/13/2005
Last updated
11/06/2014
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