Organization
FAIRVIEW FIRE CO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A STRAUSSER (CEO)
(570) 648-1700
Entity
Organization
Contact information
Practice address
1101 W PINE ST, COAL TWP, PA 17866
(570) 648-1700
(570) 648-1490
Mailing address
1101 W PINE ST, COAL TWP, PA 17866
(570) 648-1700
(570) 648-1490
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011206580001
—
PA
01
—
083209100
FEDERAL BLACK LUNG
—
01
—
208433
BLUE SHIELD
PA
01
—
208433
BCBS OF PA BLUE SHIELD
—
Enumeration date
09/23/2005
Last updated
06/17/2008
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