Organization
MOSCOW FIRE AND HOSE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN O'MALLEY-GUSE (FIRE CHIEF)
(570) 499-3519
Entity
Organization
Contact information
Practice address
117 N MAIN ST, MOSCOW, PA 18444-9020
(570) 842-7211
(570) 842-7137
Mailing address
117 N MAIN ST, MOSCOW, PA 18444-9020
(570) 842-7211
(570) 842-7137
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012905310001
—
PA
01
—
005653242
AETNA
PA
01
—
30533
GEISINGER HEALTH PLAN
PA
Enumeration date
05/11/2006
Last updated
01/07/2014
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