Organization
MOUNTAIN TOP FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY K TORMEY (BILLING)
(814) 339-7410
Entity
Organization
Contact information
Practice address
392 STATE ST, SANDY RIDGE, PA 16677-0050
(814) 342-5014
Mailing address
PO BOX 50, 392 STATE STREET, SANDY RIDGE, PA 16677-0050
(814) 342-5014
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
14008
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000281689
HIGHMARD
PW
05
—
0007064790001
—
PA
01
—
281689
BLUE SHIELD
PA
01
—
30430
GEISINGER
PA
01
—
321407
UPMC HEALTH
PA
01
—
53750
HEALTH AMERICA
PA
01
—
590008214
RR MEDICARE
PA
01
—
M0281689
MAJOR MEDICAL
PA
01
—
P021512
CHAMPUS
PA
Enumeration date
01/25/2006
Last updated
07/01/2008
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