Organization
TREVORTON FIRE COMPANY NO 1
Active
Other names
Trevorton Fire Community Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
GENE G GEISE (DIRECTOR/CEO)
(570) 797-8411
Entity
Organization
Contact information
Practice address
626 W SHAMOKIN ST, TREVORTON, PA 17881-1430
(570) 797-8411
Mailing address
626 W SHAMOKIN ST, TREVORTON, PA 17881-1430
(570) 797-8411
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021170410001
—
PA
Enumeration date
03/12/2008
Last updated
06/02/2008
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