Organization
CONCORDVILLE FIRE AND PROTECTIVE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C ROTH (BILLING)
(717) 464-0724
Entity
Organization
Contact information
Practice address
854 CONCORD ROAD, CONCORDVILLE, PA 19331-0070
(610) 459-4749
Mailing address
PO BOX 70, CONCORDVILLE, PA 19331-0070
(610) 459-4749
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03351
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000853797
—
PA
Enumeration date
05/31/2005
Last updated
12/14/2010
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