Organization
GORDONVILLE FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WEAVER (PRESIDENT)
(717) 768-3869
Entity
Organization
Contact information
Practice address
3204 VIGILANT ST., GORDONVILLE, PA 17529
(717) 769-3869
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014882600001
—
PA
Enumeration date
05/24/2011
Last updated
07/22/2016
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