Organization
TRUCKSVILLE VOLUNTEER EMS FIRE & RESCUE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY B EVANS (PRESIDENT)
(570) 696-3776
Entity
Organization
Contact information
Practice address
200 E CENTER ST, SHAVERTOWN, PA 18708-1538
(570) 696-3776
Mailing address
11 CARVERTON RD, TRUCKSVILLE, PA 18708-1752
(570) 696-3776
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025516440001
—
PA
Enumeration date
10/04/2010
Last updated
05/31/2011
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