Organization
CITIZENS HOSE COMPANY OF JERSEY SHORE
Active
Other names
Jersey Shore Area EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD FORCEY (TREASURER)
(570) 398-4790
Entity
Organization
Contact information
Practice address
1212 LOCUST ST, JERSEY SHORE, PA 17740-1920
(570) 398-7471
(570) 398-3520
Mailing address
1212 LOCUST ST, PO BOX 5086, JERSEY SHORE, PA 17740-1920
(570) 398-7471
(570) 398-3520
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
146N00000X
Basic Emergency Medical Technician
—
—
3416L0300X
Land Ambulance
Primary
03012
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011047800002
—
PA
Enumeration date
11/07/2006
Last updated
01/27/2010
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