Organization
KEYSTONE HOOK & LADDER COMPANY NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA E BERTIN (TREASURER)
(570) 546-3000
Entity
Organization
Contact information
Practice address
35 S. MAIN ST., MUNCY, PA 17756-1306
(570) 546-3000
(570) 546-3300
Mailing address
35 S. MAIN ST., MUNCY, PA 17756-1306
(570) 546-3000
(570) 546-3300
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011048970001
—
PA
Enumeration date
05/24/2007
Last updated
05/10/2011
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