Organization
NEWPORT TOWNSHIP FIREMENS COMMUNITY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARALD DESTEFANO (TREASURER)
(570) 735-2000
Entity
Organization
Contact information
Practice address
1002 CENTER ST, NANTICOKE, PA 18634-1904
(570) 735-2000
(570) 736-4303
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 714-3694
(570) 714-3695
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05054
PA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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