Organization
DORRANCE TOWNSHIP VOLUNTEER FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KOTARSKY EMT (AMBULANCE CHIEF)
(570) 868-5357
Entity
Organization
Contact information
Practice address
402 SAINT JOHNS RD, WAPWALLOPEN, PA 18660-1627
(570) 868-5357
(570) 868-3488
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04171
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015842810002
—
PA
01
—
0876834
AETNA USHC BLUE BELL HMO
—
01
—
290999
BC BS OF PA BLUE SHIELD
—
01
—
800577
FIRST PRIORITY HEALTH
—
01
—
833908
UMWA HEALTH & RETIREMENT
—
01
—
P037811
TRI CARE MID ATL
—
01
—
PA43015
PHS HEALTH PLAN HMO MDC
—
Enumeration date
09/23/2005
Last updated
11/09/2011
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