Organization
LAKE WINOLA FIRE COMPANY NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WILLIAMS (VICE PRESIDENT)
(570) 378-2000
Entity
Organization
Contact information
Practice address
1204 SR 307, FACTORYVILLE, PA 18419-7880
(570) 378-2000
(570) 378-3763
Mailing address
PO BOX 73, LAKE WINOLA, PA 18625-0073
(570) 378-2000
(570) 378-3763
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011580290002
—
PA
Enumeration date
03/15/2007
Last updated
11/15/2024
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