Organization
WILLIAM WALKER HOSE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOSEPH YANOCHIK (PRESIDENT)
(570) 876-1671
Entity
Organization
Contact information
Practice address
803 PENN AVE, MAYFIELD, PA 18433-1910
(570) 876-1671
(570) 876-5167
Mailing address
PO BOX 13, JERMYN, PA 18433-0013
(570) 876-1671
(570) 876-5167
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04212
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012293090001
—
PA
01
—
073804
FIRST PRIORITY HEALTH
PA
01
—
080046300
FEDERAL BLACK LUNG
PA
01
—
30755
GEISINGER HEALTH PLAN
PA
01
—
441590698
RAILROAD MEDICARE
PA
01
—
74265
UNISON MEDICAID HMO
PA
01
—
998520
BLUE CROSS NORTHEAST PA
PA
Enumeration date
05/18/2006
Last updated
05/13/2013
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