Organization
CITIZENS HOSE COMPANY OF JERSEY SHORE
Active
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
Update your record
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