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Organization

BENTON VOLUNTEER FIRE COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD F MUSSER (PRESIDENT)
(570) 925-5542
Entity
Organization

Contact information

Practice address
150 COLLEY ST., BENTON, PA 17814
(570) 925-5542
Mailing address
PO BOX 252, BENTON, PA 17814-0252
(570) 925-5542

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007000090002
PA
Enumeration date
03/08/2007
Last updated
06/12/2008
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